J.Jpn. Surg. Soc.. 59(11): 1874-1894, 1959

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STUDIES ON CIRCULATORY DISTURBANCE OF THE KIDNEYS AND ITS RELATIONSHIP TO OTHER CIRCULATION

When one receives injury, its individual physiologic response occurs in various ways, depending upon how to get injured, what parts of body get injured or upon manifestation peculiar to special injured organs, moreover, common changes exist regardless to the kind of injuries.
Judging from the limiting point of view of the circulatory disturbance in trauma, I studied on the early stadium and the course of injuries of the head, chest, abdomen the extremities, and the burn.
1) R. P.F. decreased rather eminently in most of the cases, however, I could find in several cases that glomerular blood flow and inner pressure were farely well bellanced.
2) Renal function is well coincided with the patho-histological findings of the kidneys.
3) The dilatation of the billiary capillaries in the specimen taken by the liver needle biopsy is considered to be the phenomena of the hepatic circulatory disturbance.
4) Renal blood flow is more sensible in response to the injury than hepatic blood flow. Renal blood flow goes back to normal level indifferent to blood flow in any other organs.
5) In early stadium of the injury, common circulatory disturbances regardless to the kind of trauma are accompanied by the secondary circulatory disturbance which is characteristic to each injured organ.
(author's abstract)

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