الفهرس 
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Abstract
1 - TWenty cases of hepatosplenic bilharaialis with
ruptured varices without shock were studied, 19
were males and one was female, with age ranging
from 14-53 years. The liver was fibrotic in all
cases, normal sized in 6 oases, enlarged in 2
cases and shrun~en in 12 cases. Asoites was
present in 15 oases.
2 - Pituitrin was administered to all oases.
3 - All these oases were subjeoted to olinioal examination
and investigations inoluding urine, stool
analysis and blood examination for blood pioture
and blood urea.
4 - The urine flow was measured hourly for 3 hours
before and after pituitrin.
5 - The serum and urinary eleotrolytes (Sodium, potassium,
Chloride, C aloium and Phosphorus) was measured
before; 24 hours, 72 hours and one Week
after pi tuitrin.
6 - Marked increase in urinary flow was observed in
the first and secozd hours after pituitrin.
7 - Significant increase in urinary sodium excretion
was deteoted 2 hours after pituitrin.
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8 - Insignificant phcsphaturia was observed 2 hours
after pituitrin.
9 - As regards other urinary electrolytes (potassium,
calcium and chloride) no significant changes were
detected.
10- Significant hypocalcaemia was observed 2 hours
after pituitrin.
11- As regard other serum electrolytes (sodium, potassium,
phosphorus) no significant changes were
detected.
12- from this work we can conclude that pituitrin can
possibly reduce the portal blood pressure and deccrease
the blood loss in patients with hepatosp1-
enic bilharziasis and ruptured varices, by its
diuretic and natriuretic effects besides its
vasoconstrictive action on the splanchinic
vessels.