低血壓症ヲ伴フ起立性蛋白尿ノ2例
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概要
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In many cases orthostatic albuminuria is treated as nephritis, while hypotension as neurasthenia. The writer hereby observes and examines the clinical views of the patients who have suffered from the orthostatic albuminuria combined with hypotension. In the cases treated, tue patients are both of male and 19 and 30 years of age respectively: they are both of weak build, become a little emaciated and pale, and have dropping hearts witnessed. There are, however, no abnormalcies found in lungs, the descending veloeity of blood-cells presents normal value, and marked albuminuria is found in Gase of lordotic or standing movement, while it disappears in Gase of quiet lying. In the residue of positive albuminuria, a very few erythrocytes, leucocytes, and cylinders are found. The avarage value of the highest blood pressure is, in the sitting position, 78mmHg (± 18mm) in one case, and 80mmHg in the other. The lowest blood pressure is 55 (± 18) and 45mmHg, and the pulse pressure is 23 (± 13) and 35mmHg respectively. In other words, hypotension and decrease of pulse pressure are witnessed in these 2 cases. The results obtained by examining mainly the case 1, will hereafter be reported. 1) Pulses are very slow and this fact quite agrees with the clinical state of bradycardia hypotouica as reported by Max Herz. 2) Blood pressure becomes low when the Patient moves from the lying position the sitting one, and it becomes high again when he continues to stand. 3) As to the blood figure, lymphocytes and eosinophilous leucocytes increase, blood sugar, residual nitrogen of blood serum, and chlor-capacity of the Serum present the normal value, as well as Wasserman's reaction of blood serum is negative. 4) No change is found in the metabolic function of vitamin C. An uns-table condition of vegetative nervous system and decrease of acidity of gastric juice are found. 5) Although the repeated injection of interenin (cortex extract of suprarenal gland) makes the subjective symtoms light and also the blood pressure a little-high, any definite influence is not given by vitamin C or prahormon (forflap extract of pituitary gland)
- 京都府立医科大学の論文