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宋康子,金悅子,李鍾錫,李學重 中央醫學社 1975 中央醫學 Vol.28 No.2
Hundred forty cases of chronic liver diseases were collected to see the interrelationship between various clinical aspects of liver diseases and their renal functions. The collected cases were consisted of 85 liver cirrhosis, 32 primary hepatoma and 23 chronic hepatitis which had been admitted to National Medical Center in Korea during the past 2 years. Data were analysed from the standpoint of BUN, serum creatinine and urinary amount in relation to various liver function tests and abdominal circumference in the presence of ascites, and the following results were obtained. 1) In the presence of ascites, the mean BUN level in cirrhosis was 20. 0±7. 24mg % and in hepatoma 27.9±9.39mg%. In the absence of ascites, the mean BUN level in cirrhosis was 15.7±6. 16mg%, in hepatoma 14.5+6.08mg% and in chronic hepatitis 15. 6±7. 01mg. This data denoted relatively high BUN levels in the presence of ascites in respective liver disease entity. 2) In the presence of ascites, the mean serum creatinine level in cirrhosis was 1. 59±0. 42 mg% and in hepatoma 1.79±0.47mg%. In the absence of ascites, the mean serum creatinine level in cirrhosis was 1.43±0.33mg%, in hepatoma 1. 32± 0.39mg% and in chronic hepatitis 1. 14±0.35mg%. The data shows serum creatinine level is higher in the presence of ascites than in cases, without ascites in respective liver disease. 3) In 85 cases with cirrhosis, BUN, serum creatinine and abdominal circumference were roughly inversely proportional to total serum protein and 24 hour urine output in both 'groups with and without ascites. 4) In patients with cirrhosis, the BUN and serum creatinine level did not show close relationship with respective value of various liver function tests such as GOT, GPT, alkaline phosphatase and bilirubin level in both groups with and with-out ascites.
윤경준,태경희,김열자,김동수,이종석,이학중 최신의학사 1977 最新醫學 Vol.20 No.1
Clinical observations were made on 457 cases of diabetes mellitus who were admitted to the National Medical Center during recent 10 yrs, from January 1966 to December 1975 and the results were as following; 1) The incidence of diabetes among in-patient to the medical ward was 2.9%, showing 2.2 versus 1 in male female ratio and the most prevalent age group was in fifth decade of age in both sex. 2) Non obese diabetes was most common form (72. 1%) and obese diabetes, jubenile form, brittle diabetes in order of frequency. 3) Common subjective complaints on admission were polydipsia (42.8%), numbness and paresthesia (36.8%) polyuria (36.8%) polyuria (31.7%), weight loss(15.8%), and polyphagia (14.2%). 4) As to the common complications, there were neuropathy in 31.0%, hypertension and arteriosclerosis in 19.0%, retinopathy in 11.2%, renopathy in 10.7%, Pulm. Tbc. in 9.6% of the cases. 5) Fasting blood sugar level on admission was 200-300 mg% in 40.3%, 150-200 mg% in 28%, 300-40 mg% in 9.6% and over 500 mg% was 2.6% of total cases. 6) Alkaline phosphatase abnormality was most common findings(27%) in diabetic patients who performed-the chemical liver function tests. 7) Diabetes were well controlled in 291 cases (64%) during hospitalization and insulin requirement was 16-40 unit (N. P. H.) in most cases (80.2%). 8) There were 9 cases of diabetic coma, whose mean blood sugar level were 609.6 mg% and 4 cases expired.