膀胱内壓測定 : 第2報 正常膀胱内壓測定圖ニ影響ヲ及ボス内因的及ビ外因的要因ニ就テ
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The writer made 210 cystometrio determinations on 134 cases of normal bladder and one case of pathological bladder by the same method reported in the author's preliminary report, and made a study of the many intrinsic and external factors which might influence the cystometrogram of the normal bladder. I. Intrinsic factors which influence the cystometrogram (II). (1) It is rare to find any change in the cystometrogram when intravesical pressure determinations are made on separate days. (2) No change in the cystometrogram is produced even when two separate And consecutive intravesical determinations are made. (3) The maximum intravesical pressure from that of rest on the induction of abdominal pressure is 12.9 mm and 9.2 mm in the male and female respectively with instillation of 200 ccm of fluid. The intravesical pressure is identical with that of the preceeding case even with the instillation of 163 ccm of fluid. (4) The maximum intravesical pressure from that of rest under deep in spiration is 4.2 mm with instillation of 300 ccm of fluid in the male, and 3.9 mm with instillation of 155 ccm of fluid in the female. (5) The maximum intravesical pressure from that of rest produced by cough is 28.5 mm with instillation of 200 ccm of fluid in the male, and 25.5 mm with instillation of 300 ccm of fluid in the female, II. External factors which influence the cystometrogram. (1) Instillation of fluid at a temperature of 20 degrees Centigrade produces no change in the cystometrogram. Instillations of fluid at temperatures of 45 degrees and 10 degrees Centigrade sometimes produce a normal bladder under increased tension. Among the specific changes in the bladder are a slight shift to the right in the severe pain with the instillation of fluid at a temperature of 45 degrees Centigrade, and a moderate shift to the right in the first desire to void with instillation of fluid at 10 degrees Centigrade. (2) The use of 1 : 3000 potassium permanganate solution or 1 : 4000 silver nitrate solution for instillation produces no change in the cystometrograrn, but produces a slight shift to the left in the desire to void. (3) Instillation anesthesia of the bladder with 2 per cent or 5 per cent procaine hydrochloride produces no change in the cystometrogram, but produces a moderate shift to the right in the desire to void.
- 社団法人日本泌尿器科学会の論文
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