[Abstract] [Full Text PDF] (in Japanese / 8167KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 53(4): 245-255, 1952


Original article

PHENOL (BY FOLIN & DENIS' METHOD) AND INDICAN (BY JOLLESROSENBERG'S METHOD) VALUES IN THE SURGICAL CASES, ESPECIALLY IN POSTOPERATIVE PATIENTS AND IN SHOCKED DOGS. (II : IN PATIENTS)

II. Surgical Department, Tokyo University Medical School

Tadao HARAGUCHI

(1) As for concentration of indican in serum of 30 patients, I saw the increased values in 13 cases, the invariable values in 23 cases, and the decreased values in 7 cases after operation.
(2) As for concentration of phenol in serum of 42 patients, I saw the increased values of free phenol in 33 cases, the invariable values in 3 cases, and the decreased values in 20 cases, and the increased values of total phenol in 28 cases, the invariable values in 1 case and the decreased values in 27 cases after operation.
As for combining power of phenol, I saw the increased values in 23 cases, and the decreased values in 33 cases after operation.
(3) As for indican in serum of 44 patients admitted into the II. Surgical Clinic of Tokyo University Hospital, the maximum value is 0.160mg/dl. As for free phenol in serum of 54 patients admitted, the maximum value is 0.114mg/cc, the mimimum value 0.028mg/cc, and the mean value 0.057mg/cc. As for total phenol in serum of 54 patients, the maximum value is 0.238mg/cc, the minimum value 0.028mg/cc, and the mean value 0.086mg/cc. As for combining power of phenol in serum of 54 patients, the maximum value is 63.8 per cent, and the minimum value 30.0 per cent.
(4) I continued the investigation for several days after operation to determine the total values of phenol and indican in urine during 24 hours. The days on which the maximum value was seen were generally very near the days on which the first flatus or stool was seen, except in the cases of postoperative inflammation and readiness to shock condition. I saw the sudden decrease of combining power of phenol in 11 out of 17 cases, and I think its sudden decrease is due to paralytic ileus in 6 cases, to inflammation of abdominal wall along the suture line in 3 cases and to readiness of shock condition in 2 cases. (author's abstract)


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