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名種 肝疾患에서 數種 肝檢査와 肝 Scintigram과의 比較觀察
李鍾錫,金洋一,朴善淑,曺昌鎬,李學重 中央醫學社 1976 中央醫學 Vol.30 No.1
In 12 normal cases and 88 liver disease cases, the radioactive colloidal gold liver scan, liver function test and liver biopsy were done at the Dept. of Internal Medicine. The results obtained were as follows: 1) Liver disease cases are classified according to the degree of splenic uptake and the degree of bone marrow uptake as seen along the vertebral column and there are high degree uptake 21 cases, moderate 3 cases, mild 35 cases of 100 cases. Decreased hepatic uptake and increased extrahepatic uptake (EHU) in the spleen and vertebral column are considered of an index of portal hypertension and collateral circulation. 2) Extrahepatic uptake of radioactive colloidal gold liver scan is increased at lower prothrombin level in 63 of 84 cases (75%). 3) The degree of splenic uptake and the degree of bone marrow uptake as seen along the vertebral column with mottling of the liver is high at lowered serum albumin and increased globulin level in 38 of 64 cases (59.4%). 4) Extrahepatic splenic and vertebral marrow visualization is noticed in cases of high serum alkaline phosphatase level but is not relationship between extrahepatic uptake rate and serum alkaline phosphatase level.
황윤진,김준우,임종완,임동건,윤영국,김양일 경북대학교 병원 2001 경북대학교병원의학연구소논문집 Vol.5 No.1
저자들의 간유입 혈류 차단 및 문맥-하대정맥 문합술을 이용한 허혈성 간부전 모델은 간부전 및 간조직의 괴사가 지속적으로 진행되고 반복성(reproducibility), 간부전으로 부터의 사망(death from hepatic failure), 긴 생존기간(therapeutic window),큰 동물(large animal)사용, 실험지의 안전성(minimum hazard to perponnel)과 같은 점들을 만족 시켜 급성 간부전의 새로은 치료방법의 개발, 병인의 연구 그리고 인공간 개발 등의 효능 측정 등에 유용하게 사용되리라 사료된다. (Background) Experimental studies on acute liver failure(ALF)are necessary to evaluate the pathogenesis or the possible methods of ameliorating this life-threatening condition,despite the fact that the animal models are not similar to human cases.In this research, the effects of total devascularization of the liver with portocaval shunt were evaluated in pigs. (Methods) Ten female pigs weighing about 30㎏ each were used.Total devascularization of the liver with end-to-side portocaval shunt was performed under general anesthesia.Blood samples were obtained serially to assay serum ammonia, aspartate aminotransferase(AST), albumin, and intracranial pressure was also performed to evaluate the progression of hepatic encephalopathy. (Results) The average survival time was 22.1±9.15(mean±SD)hours after surgery. Clinically, the pigs showed a uniform course.They became lethargic after 4-8 hours and following a period of increased drowsiness, they became comatose and died. The concentration of the amonium ion and AST in the blood increased significantly and BCAA/AAA decreased constantly, all of which were indicative of progression of hepatic failure and hepatic necrosis.Intracranial pressure progressively increased as we see in human cases of ALF.On the other hand, the level of serum albumin did not markerdly change due to its long half life. (Conclusion) The pig model for ALF is reproducible without biohazard, it causes constant death from hepatic failure, and it has a relatively long therapeutic window which allows the institution of supportive procedures to be tested.Therefore, our liver failure model is recommended to elaluate possible supportive measures against ALF.