急性期頭部外傷患者における尿所見と予後について

DOI Web Site PubMed

書誌事項

タイトル別名
  • On the Relationship between Urinary Findings in the Acute Phase of Head Injury and the Prognosis of the Patient
  • キュウセイキ トウブ ガイショウ カンジャ ニ オケル ニョウ ショケン ト ヨゴ ニ ツイテ

この論文をさがす

説明

It is well known fact that the urine sugar levels in the patients with head injury tend to be higher with the severity of injury. In the period from April 1, 1966 to August 31, 1967, two hundred and forty-nine patients with head injury were subjected to statistical analysis on urine sugar.<br>1. The urine sugar was positive in 62.5 percent of the cases whose laboratory study could be started within 5 hours after injury. Most of those cases had type III or type IV injury of Araki's classification. The patients with type III or type IV head injury were 100 percent positive for urine sugar. This positive rate declined to 38.6 percent or less within 3 days after injury.<br>2. Among the severe head injury cases of type III or type IV, those having urine sugar levels below 250mg% showed a mortality rate of 20.2%, while those above 250mg% exhibited 80% of mortality rate. Many of the latter cases left severe sequelae when they survived.<br>3. The absence or presence of urine sugar and the state of consciousness were comparatively studied. The urine sugar was almost 100 percent positive in the patients with deep coma, in whom the urine sugar levels were high.<br>4. Comparative studies of the urine sugar level and other clinical symptoms disclosed brain-stem lesion showed high sugar level, but the urine sugar level showed little correlationship with other neurological manifestations.<br>5. Albuminuria was present in 27.2% of the patients with head injury. The urine albumin showed less correlationship with the severity of injury and its prognosis than the urine sugar.<br>6. The incidence of diabetes insipidus was generally low in the cases of head injury. Marked but transient rise of urinary amount, however, often observed in the patients with severe head injury of type III or type IV.

収録刊行物

  • 医療

    医療 22 (6), 710-717, 1968

    一般社団法人 国立医療学会

詳細情報 詳細情報について

問題の指摘

ページトップへ