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고광도 ( Kwang Do Koh ),박충래 ( Choong Rae Park ) 대한소화기학회 1971 대한소화기학회지 Vol.3 No.2
N/A This report was performed on basis of 102 cirrhotic patients who were admitted to department of gastroenterology in Woo Suk University Hospital during the period from April 1968 to March 1971. Cirrhosis has been made one of major medical problem, because of its increasing incidence ar.d mortality, and difficulty of early diagnosis and treatment. An analysis has been made of incidence, etiology, clinical and la'noratory findings on the diseas . The cases were selected by careful history, clinical and laboratory features, liver biopsy and liver scintigram. The results in this study were as follosvs: Sex incidence; Man:Woman=4, 1: 1 Age incidence; Predominant incidence age range 41 to 50 years, and average age vas 48. 8 years. 2, The possible etiological factors in the liver cirrhosis have been investigated with regard to careful past history; the important etiology were that nutritional deficienay in 55 per cent, alcoh- olism in 47 per cent, past history of hepatitis in l6 per cent, unknown cases in 34 per cent. It has been thought that these factors may play roles in combination with other in inducing cirrhasis of the liver. 3, The initial symptoms of the liver cirrhosis ivere predominantly anorexea and indigestion, and fatiguability. The majority durations include one to 5 years interval from onset to admission, ar d ch!ef complaints on admission were abdominal fullness, anorexia and indigestion, jaundice and abdominal pain. 4, The major symptoms of the liver cirrhosis on admission were fatiguability (77. 2%), indigestion (67. 3%), anorexia (63. 4%), abdominal pain (51. 5%), weight loss (27.7%), headach and dizziness (26. 7%), bleeding (26. 7%), and fever (25, 7%), Physical findings vere as follows; ascites (56. 9%), palpable liver (52, 9%), edema (35. 5%), angioma spider (34, 5%), jaundice (32. 3%), hypotension (28. 4%), csopl;ageal variccs (25.9,%), palpable spleen (18.6%), superficial venous dilatation (11.8%). Liver palm (6.9%), gynccan.astia (4. 9%), and lose of axillary hair (2. 9%), and the sites of angior:a spider were in upper chest (71.4%) and neck (60%). 5. The blood findings were revealed as follows: the decreased number of R.B.C. was found in 42. 0% Hemoglobin in 65. 3%, Hematccrite in 56.4% of cases. The anemias were macrocytic(40. 7%) and norchromic(69. 1%) ones. Lukoperia were observed in 26. 7go of cases. Erythrocyte sedimentation rates were prolonged in most of the cases. 6. Urinalysis were revealed proteinuria (28. 9%), glyccsuria (20. 6%), urobilincgenuria (27. 8%),. And bilirubinuria (25. 8Fo). 7. Stool examination were revealed Ascaria (40. 0%), Trichocephalus Trich. (80. 0%), Trichostrongylus orient. (31. 3%), Clonorchis sinensis (6. 7,%) and hook worm (8. 5%), and occult blood were- positive in 83.8% of cases. 8. Serum total bilirubin were increased in 62. 6% of cases and serum direct bilirubin were increased in 43 .3% of cases. 9, Serum total protein were decreased in 26, 8 alb m' in were increased in 45. 3,, globulin were decreased in 72. 9g and A/G'ratio were reversed 58. 8io of cases. 10. C.C.F. were I ncreased above p in 48. 9p of cases at 24 h d T.T. 'Z. were inreased above 6 u. in 83. 7py of cas:s. 11. Alkaline h oshosphatas- were increased in 72. 4 ' S.G.O. T. ' in 85. 6z', and S.G'P. T. In 45. 4,o. 12. Serum total cholesterol were increased ratio were decreased in 41. 9io of cases. In 24. 4 4. 4 of cases and serum cholesterol ester form 13 Prothrombin t'ime were prolonged in 52. Lp f d serum iron avere decreased in 24. Lpy of cases. In specific gravity of ascites transudate were 8' ' ex d t ' 1 p o in nature and protein cvntents of ascites were less than 2. 0 gm. Pa in 80zg of cases. 15, Hyperglyc mia were obs:rved in 24. 8% of cases and hypoglycemia in 18. 8,- of cases lb In s rum electrolytes, sodium were decreased in 54. 2g, chloride were slightly increas d in 18. S ,o, calcium were decreased in 96. 3 and potassium were decreased in 25, 4, of cases. Yi. P.i3. Ivere increas-d i
고광도 ( Kwang Do Koh ) 대한내과학회 1969 대한내과학회지 Vol.12 No.7
A clinical study was done on total 195 cases admitted to the medical ward of Kyungpook University Hospital because of acute abdominal pain during the three years from 1965 to 1967 (Jan. 1965-Dec. 19673 1) Total 195 cases was 5.5% of all medical in-patients