噴門癌及び体部癌に対する膵尾側切除・脾摘出合併手術に於ける血液変動に関する研究
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概要
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The follows are evidenced by studies in the postoperative blood pictures about 78 patients undergoing pancreaticosplenectomy combined with gastrectomy in cancer of the stomach in our clinic since 9145. 1) Judged apart from influence by an intervention of the abdominal operation, erythorocyte count, temporally increasing as a result of splenectomy, gradually returns to normal in approximate 4 weeks. 2) Anemia which developes in more than one year in some cases, should be attributed to total gastrectomy and not to splenectomy. This anemia is a hyplochromic type and curable. 3) The influence of this operation on leucocyte count depends on kind of leucocyte. Splenectomy is apt to induce lymphocytosis and eosinocytosis, which persist considerably long period of more than one year in some cases. 4) Control ability in blood cell count, destructive power of old blood cells, reproductive power of new cells, reserve capacity of blood and control ability in circurating blood are impaired as a result of splenectomy, which persist about four weeks postoperatively and return to nornal. 5) Red cell fragility, initially increasing its resistance, normalizes in about four weeks. 6) Protecting function against bleeding is rather improved postoperatively. In other words, coagulationtime and bleeding time prolonging preoperatively, return to normal postoperatively. 7) Blood segmentation rate shows its improvement postoperatively. 8) Leucocyte phagocytosis, deteriolated within five days postoperatively,normalizes soon. 9) Bactericidal power, reduced within one week, normalizes soon. Application of communine prevents it from its reducing somewhat. 10) Endotherial systems, impaired its function within three weeks, acquire the normal function in about four weeks. As above mentioned, ill-effect of this operative method is only confined to a period of about four weeks postoperatively, and morbidity due to splenectomy usually disappears mainly by virtue of compensation by the reticulo-endotherial systems in the lever and others.
- 千葉大学の論文
- 1955-01-28
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関連論文
- 15.中山外科教室における剖検例の検討(1946-1955)(第376回千葉医学会例会,第11回中山外科例会)
- 27) 膵脾合併切除前後に於ける血液学的検索(第318回千葉医学会例会,第7回中山外科教室集談会連合会演説要旨(その2))
- 噴門癌及び体部癌に対する膵尾側切除・脾摘出合併手術に於ける血液変動に関する研究