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フルテキストURLA020004000102.pdf ( 1.2MB ) 公開日 2010-04-16
タイトルSTUDIES ON BLOOD SPECTRUM : Ⅰ. BLOOD SPECTRUM AS AN TO THE APPRAISAL OF GENERAL CONDITION
作成者Murata, Kenjiro
作成者ヨミムラタ, ケンジロウ
作成者所属山口大学医学部
内容記述(抄録等)Two thousand and threepatients with medical, surgical, gynecological, and other diseases were examined for theconcentration of blood hemoglobin, serum protein, blood sugar and the slbumin to globulin ratio. Connecting lines were drawn in the graph according to the idea of blood spectrum. They were classified into the four groups, N (albumin to globulin ratio was normal), L (hemoglobin was within normal limits, but albumin to globulin ratio was subnormal), Z (both hemoglobin and albumin to globulin ratio were in subnormal range, whereas serum protein was maintained normal) and F (hemoglobin, serum protein and slbumin to globulin ratio were all below the lower limit of normal range) to be compared with the impairment in general condition which was graded as slight, moderate and severe, and the following conclusions were arrived at:-(1)Groups N, L, Z and F approximetely correspond to the healthy or slightly ill, the slightly or moderately ill, the moderately or severely ill, and the severetly ill conditions, respectively.(2)Each of the four groups contained various patterns (a type and its subtypes) which nearly equivalent in clinical implication, but thtere were a few exception: patterns subtype N. and subtype L. equaled the groups L and group N, respectively, as an indicstor of general condition.(3)In interperting the grade od impaurment in the general condition from the pattern of connecting line, a careful consideration must be paid to the degree of deviation of each constituent (hemoglobin, serum protein or albumin to globulin ratio) from its normal rage, construing larger deviation as being related to a more seriously impaired conditiono and vice versa: Contingency coefficient of 0.45 and the rate of hit of 70 per cent were obtained in this way between the connecting line and The clinically assessed general conditions.(4)The rate of hit varied to a certain extent with the difference in the kind of diseases: it was satisfactorily high in the diseases of the liver and biliary tract, the lungs and, the blood and hematopoietic organs, especially in hepatitis, hepatic cancer, cancer of the biliary tract, and pulmonary tuberculosis, although it was relatively low in the diseases of the pancreas and the thyroid gland as well as in the paitients belonging to psychiatry, neurology and otolaryngokogy. Gastroduodenal ulcer, hypertension, entercolitis (including dysentery), cancer of the breast and diabetes mellitus were generally diagnosed by the blood spectrum as the more favorable than by the purely clinical examination; but liver cirrhosis, gastroduodenitis, thoracic empyema, peritonitis, uterine cancer, nephrosis, uremia, and pancreatic cancer were, on the contrary, showed a tendency to be judged as the severer than clinically.(5)The blood spectrum is considered to provid the clinical bichemist with a useful means of diagnosing the general condition, even though he is in the labboratory without any information on the clinical manifestations of the patients. However, it is not beyond criticism, particularly regarding the slight ailment. The assured fact that the group N, instead of L, connecting line was associated with a considerable number of moderately ill paitients, is an example. Indicators which are more sensitive to the slight illness than the albumin to globulin ratio is required to improve the efficiency in cinical diagnosis.
本文言語eng
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
4
1
開始ページ37
終了ページ54
発行日1956-07-31
著者版/出版社版出版社版
リポジトリIDA020004000102
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020004000102