肺結核患者の酸塩基平衡

概要

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For 73 patients with pulmonary tuberculosis, who were admitted to Jikei Hospital during past 3 years since May 1971, the acid-base balance in venous blood samples as well as BSR, bacteriological examination of sputum, urinalysis and others, was measured once a month as a routine laboratory examination.<BR>This procedure is relatively simple and could be repeated easily.<BR>In these patients various complications were observed. Such as 3 cases of diabetes melitus, 1 case of renal acidosis, 1 case of hyperventilation syndrome and 3 cases of respiratory failure, and these complications were effectively detected and treated by means of acid-base balance measurement.<BR>Furthermore, course of pulmonary dysfunction accompanied with pulmonary tuberculosis, could be generally presumed by measuring the mode of changes of the carbon dioxide tension in blood caused by various grades of respiratory dysfunction.<BR>These results suggest that the acid-base balan c e measurement is a valuable tool for the treatment of hospitarized patients with pulmonary tuberculosis, especially cases with pulmonary dysfunction.
日本結核病学会の論文