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ID 18269
Eprint ID
18269
FullText URL
Thumnail 76_267.pdf 849 KB
Title Alternative
Studies on Hepatic Hemodynamics in Viral Hepatitis and Cirrhosis of the Liver Ⅰ. Hepatic Hemodynamics in Chronic Hepatitis
Author
Kunintomi, Akio
Abstract
By means of catheterization of hepatic veins, hepatic hemodynamics was investigated on patients with chronic hepatitis. 1. Elevation of wedged hepatic venous pressure and reduction of effective hepatic blood flow were noted. In 30% of the cases intrahepatic shunt flow was positive. Oxygen consumption of the visceral organ was reduced in 20% of the cases. 2. There was a close relationship among the factors of hepatic hemodynamics, such as wedged hepatic venous pressure, effective hepatic blood flow, intrahepatic shunt flow, etc. Moreover, the amount of oxygen consumtion of the visceral organ was related to effective hepatic blood flow. 3. Correlation was observed between wedged hepatic pressure and the active histological alterations of Glisson's capsule. Effective hepatic blood flow was closely related to the laboratory findings of the liver function and the changes of portal vein in the Glisson's capsule. Intrahepatic shunt flow was related to laboratory findings of the liver function, histological changes of Glisson's capsule, degeneration of the liver cells, alterations of central veins and splenomegaly. The amount of oxygen consumption of the visceral organ was related to blunted liver edge, splenomegaly and enlargement of the sinusoids. 4. In chronic hepatitis manifested with latent form, a remarkable disturbance of heparic hemodynamics was observed. This type of hepatitis may thus have a possibility to progress to cirrhosis. Similar observations were obtained in the clinical type of relapsing hepatitis and in that with obscure clinical manifestations.
Published Date
1964-06-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume76
Issue
issue4-6
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
267
End Page
280
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/76/4-6/76_4-6_267/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma