摘要:

The term chylous reflux refers to the backflow of chyle from its normal route, i.e., from the bowel lacteals through the cisterna chyli and the thoracic duct to the bloodstream. “Primary” chylous reflux suggests the absence of an apparent etiology, in contradistinction to those “secondary” cases in which an underlying etiology such as irradiation, neoplasia, trauma, or filariasis can be identified. The latter varieties are excluded from this review which, hence, concerns itself solely with the gynecological pertinence of idiopathic (primary) disorders of the chylous circulation. A case of chylometrorrhea (chylous uterine discharge) due to filariasis is mentioned only for the sake of completeness, since nematode-mediated disease is virtually unheard of in Europe or North America (1).Although exceptionally rare, primary chylous disorders must be considered in cases of profuse leukorrhea and unexplained vulvar edema or vesicle formation. A detailed discussion of this unique disorder is offered in the hope of contributing to a more rational management of such patients.

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Study of renal function in human pregnancy has many problems, one of them being the wide variation in absolute values among individual subjects. The only realistic way to investigate renal changes is to use each patient as her own control, that is, to perform serial studies on the same subject during pregnancy and in the nonpregnant state. This paper attempts to describe the changes that occur during human pregnancy in renal hemodynamics and in certain aspects of tubular function, particularly the handling of uric acid and glucose. The data are based on three serial studies performed between 1954 and 1959 and on a study published by William Dunlop in 1979.The increase in effective renal plasma flow during pregnancy appears to be considerably greater than previous estimates would allow. The maximum increments from nonpregnant values in the four serial studies range from 50 to 85 per cent. It seems that the increase occurs within the first trimester.

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7828    

出版商:OVID    

年代:1981

数据来源: OVID