所謂特發性腎出血症ノ統計的觀察並ニ同療法殊ニ腎被膜剥離切除術ノ治療成績ニ就テ

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89 cases of so-called essential kidney bleeding, which had been treated in the Akutsu Hospital, were studied statistically and were observed concerning its therapeutic results by decapsulatio renum, which are dealt with in this communication, and obtained the following conclusions: (1) This occurrs more frequently among the males than females. The ageal connection was the Persons coming under the age group between 40 to 50 years among the males and 30 to 40 among the females were most frequently attacked. (2) This was always lateral, sinistral kidney in the males and the dextral kidney in the females were often med with. (3) Recurrences occurred most frequently on the same side of the kidney as the primary affection developed, most cases of the recurrences being met with in the sinistral kidney among the males and the dextral kidney among the females more than 50% of the cases had recurrences and mostly within one year from the primary affection. (4) The function of the indigo-carmin excretion was always normal, as it was so with the cases treated by decapsulatio renum, in which also normal function of the indigo- carmin excretion was med with. (5) To this disease, ergot, adrenalin, anaptol (internally), 1% of anaptol gelatin (hyoodermic injection) and 1% saline (intravenous injection) and combination of the methods of administration will bring about certain therapeutic efficacies, but they have been always complained of bein'g in constant. These methods, however, are free from any by-effects and, therefore, are recommended to be tried. (6) 9 cases had been treated by decapsulatio renum and a cure was established in 4, another 4 had a temporary amelioration but recurrence, while only one case was unamenable. (In our Previous communication, in which 7 operated cases been reported, 4 had a cure, 2 without any efficacious results, while one missed further observation). (7) The decapsulatio renum is, therefore, an additional method of treatment in the cases in which no other known non hemorrhagic methods of treatment proveds successful and yet the patient will still retain a physical strength enough to withstand the strain of hemorrhagic operation. This has been proved to be an efficacious method in establishing a temporary cessation of bleecling although the final therapenlts results can never be relied much upon it. It might be added here this treatment would utterly be unsuccessful against cyluria. (8) Tamura's method of intra-pelvic infusion of sodite iodite against so called essential kidney bleeding were proved efficacious in 2 of our cases.
社団法人日本泌尿器科学会の論文

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小山正篤
阿久津病院

所謂特發性腎出血症ノ統計的觀察並ニ同療法殊ニ腎被膜剥離切除術ノ治療成績ニ就テ

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