Paraplegia and Tetraplegia in CHIKUHO Labour Accident Hospital
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概要
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There are 25 patients with paraplegia or tetraplegia due to trauma or orthopedic spinal diseases in CHIKUHO Labour Accident Hospital. 22 cases of them are in need of medical treatment or care, because of their paralysis or disturbance of activity of daily life. For their health control blood, urine (sediment and urinary bacterial test are involved), renal function and radiological views are regulary examined. The results of examinations for the recent eight months are summarized as follows:1. Many cases show hypochromic anemia (Hemoglobin under 90% or hematocrit under 45% are found in 72%, respectively).2. Usually, urine are acid, and leucocytes, opacity or epithelial cells are found in over 70%.3. Positive Urocheck test are obtained in 77% and positive bacterial culture are succeed in 61%. In 80%, both agree in views.4. Although 72% show under 1.018 of the maximum spcific gravity in the thirst test or hyposthenuria, the results of phenolsulfonphthalein test are almost normal.5. Regions of bony lesions have usually healed by osseous intention, but one case shows complete ankylosing spondilitis.Cystograms are revealed: the reflux in three of 16 cases (two are unilateral and one is bilateral), Schramm's phenomen in 11 of 16 cases and the beam-formation or diverticulum in 10 of 16 cases.In the intervenous pyelogram, caliectasis and ureteral dilatation are impotant.Paranephritic abscess and intermittent hydronephrosis with floating kidney have need of urologist's advice.
- 西日本整形・災害外科学会の論文
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関連論文
- Paraplegia and Tetraplegia in CHIKUHO Labour Accident Hospital
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