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노방수,안철훈,감형식,조건국,이민형,오현관 ( Bang Soo Rho,Cheol Hoon Ahn,Hyung Sik Kim,Kun Kook Cho,Min Hyung Lee,Hyun Kwan Oh ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1
A clinical observation was performed on 80 cases of amebic liver abscess admitted to Chosun University Hospital from March 1975, to August 1979. The results were as follows: 1. The most cases were found between the fourth and sixth decade and the incidence of peak age was in the fifth(30.0%). The male to female ratio was 3.4: 1 with male predominance. The disease occurred more frequently in the summer and the autumn, but less in the w inter. The most frequent complaint was pain(96. 3%), especially in right upper quadrant of the abdomen(72. 7%), and the most frequent physical finding was tenderness on right upper quadrant of the abdomen(97.5%). 4, The anemia below 10, Qgm% of hemoglobin was seen in 28. 7/o of patients and the leukocytosis over IO, QQQ/mm in 61. 3%. 5 Among the liver function tests, Serum total bilirubin over 3. 0 mg% was seen in 1I. 3% of patients, serum Alkaline Phosphatase over 5.0 Bodansky Units in 63. 8%, SGOT over 49 Units in 48. 8%, serum total protein below 6. 0 gm% in 20, 0%, serum Albumin below 3 0 gm% in 38, 8% and reversed A/G ratio of serum protein in 47. 5% of the patients. 6 The abnormal chest X-ray findings were seen in 66. 3% of patients and the most frequent abnormal finding was right hemidiaphragm elevation(47,5%). 7 The various complications of amebic liver abscess were found in 15% of patients and bronchopleural fistula, peritonitis, pyothorax and subphrenic abscess were seen in order of frequency. As a result of study by using of liver scanning(Au), the frequent sites of involvement were in order of posterosuperior lateral part, anterosuperior lateral part, and posteroinferior lateral part of the right lobe. G. The serial scanographic examinations during the medical treatment were performed on 7 cases, the cold areas were disappeared within a period of 2 to 6 months(average: 16.3, weeks).