Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.

人為低血圧下手術に関する臨床的ならびに実験的研究 第3編 肝機能からみた正常血圧下手術と人為低血圧下手術との比較検討

中川 俊美 岡山大学医学部第1(陣内)外科教室
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The influences of endothracheal anesthesia upon the liver function in the preoprative stage, during the operation and after the recovery was estimated measuring the serum bilirubin and BSP test and the results in both groups were compared. 1) The total serum bilirubin increased in both groups slightly during the opeartion and mostly after the recovery. It showed a tendency to decrease gradually at the third postoperative day. But its mean value was larger in the hypotensive group than in the normal group during the operation. After the operation, however, it was rather more in the normal group. 2) The increase of the total serum bilirubin during the operation was mostly dut to the increase of the direct and indirect bilirubin. 3) BSP-test during the operation showed an increase of 22.5%-25.7% in the blood, but it showed a marked restoratation after recovery in both groups. BSP in the blood of the normal group during the operation seemed more than that of the hypotensive group, but not different after recovery.