肺結核症に於ける肝臓機能に関する臨床的研究
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One hundred and eighty-seven patients with pulmonary tuberculosis were examined in an attempt to clarify the clinical aspects of the disturbance of liver function in pulmonary tuberculosis. The conclusions reached are summarized as follows : (1) The disturbance of liver function in pulmonary tuberculosis was closely related to the extent and character of tuberculous lesions and electrocardiographic findings, but it had nothing to do with the presence or absence of cavities, various symptoms and signs, plasma protein findings and the results of capillary resistance tests. (2) There was a correlation to a certain extent between the results of biopsy and function tests of the liver. (3) The liver function was little affected by the administration of any antituberculotica. (4) The administration of methionine influenced the liver function favorably. It seems, however, that the need for it to be administered in various phases of pulmonary tuberculosis arises only under special circumstances. (5) The liver function returned normal in 2 months following resection of the lung. The patients with the so-called serous hepatitis have recently shown a tendency to increase in number. The need for liver function tests in postoperative period as well as for an improvement in the management of blood transfusion should be emphasized. (6) There was no uniform pattern in the curves representing urine urobilinogen levels determined every two hours in the daytime.
- 千葉大学の論文
- 1959-01-28
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