人工気腹療法の人体に及ぼす影響
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概要
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Aiming at the investigation of the effect of the Pneumoperitoneum on the human body, I, the author of this report, have made, the following studies about 40 cases who have undergone the Pneumoperitoneum for more than 6 months: (these 40 patients were chosen among the tuberculosis ones who were received to the National Chiba Hospital since 1951). 1. Making graphic curve of breathing both before the operation and after the operation by Yokoyama's Pneumo-Graph and observing the variations of the movement of the thorax; 2. Scrutinizing the clinical conditions and the results of Roritgenographic studies of the gastroenteritinal test and liver function test comparing the condition before the operation with that after the operation. As for the graphic curve of breathing, those who had shown rather slight and narrow variations, were in good condidions in regard to the elevating function of the diaphragm and moreover the effect of the Pneumoperitoneum was remarkable. After the Pneumoperitoneum, the movement of the upper thorax increased and on the contrary, that of the lower thorax decreased compared with the condition before the pneumoperitoneum. This tendency was more remarkable in the cases of those who were in good conditions in regard to the elevating function of the diaphragm. As for the clinical conditions, there were mostly found such troubles of degestive system as gastralgia, anorexia and loss of weight. There were few which showed any changes about the breathing capacity, and so even those who have rather little breathing capacity can be adaptable to this therapy. Concerning to the gastroenteric changes by pneumoperitoneum the following were observed through the Rontgenographic studies: Dropping downward and forward of the stomach; elongating and ,narrowing of the cardia; widening .and being recumbent of the fundus; reduction of the gastric-bubble.In addition to these, there were also observed the slight prolongation of the time for evacuating the contents of stomach and ascention of the acidified rate of the gastric juice through the X-ray test. Thus, most of those who complain troubles of degestive system are thought to have exactly some causes to do so, that is to say, it seems that there had already been something wrong in their degestive system and when there were added the stimulus of the Pneumoperitoneum, they became these troubles. As for the liver function test, I have made Co-R test, Cad-R test, B.S.P. test and Urobilinogen-test at a time, and as the results, found that there appeared 17 % troubles which seemed to be rather low rate.
- 千葉大学の論文