http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
간내 (肝內) 담즙정체성 (膽汁停滯性) 황달과 (黃疸) 기계적 (機械的) 폐한성 (閉寒性) 황달의 (黃疸) 임상적 (臨床的) 비교
이상철 ( S C Lee ),안득수 ( D s Ahn ),양형식 ( H S Yang ),이경 ( K Lee ),한남진 ( N J Han ),박행렬 ( H R Prak ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1
Cholestasis, literally translated, is stagnation of bile, but conventionally implies interfe- rence with bile flow into the duodenum associated with jaundice. Cholestasis has been divided into the type resulting from obstruction, either intrahepatic or extrahepatic, and that without obstruction, conventionally designated intrahepatic chol estasis. For the differenciation between intrahepatic cholestatic jaundice(medical jaundice,' and mechanical obstructive jaundice(surgical jaundice). We studied 102 cases of severe jaundice patients consisting of 54 cases of intrahepatic cholestatic, medical, jaundice confirmed by complete cure with medical treatment, who had over 20 mg% of serum total bilirubin, and 48 cases of mechanical obstructive, surgical, jaundice confirmed by operation, who had over 15 mg% of serum total bilirubin. The cases studied involved the patients who iwere admitted to department of internal medi- cine and/or transferred to department of general surgery for operation in Jeonbug National University Hospital andjeon Ju Presbyterian Medical Center during the period of Jan. 1979, to Dec. 1980. The results obtained are summerized as follows; 1. In surgical jaundice, the most common causes of diseases are stones and pancreatic head carcinoma, and those comprise 66. 6% of all surgical jaundice patients. In medical jaundice, the acute viral hepatitis(72. 2%) is the most common cause of disease and cirrhosis of the liver is next(14. 8%). 2. In surgical jaundice, 48% of patients is over 60 year old aged. 3. RL'Q pain, fever and chillness are more frequent in surgical jaundice than that in medical jaundice. Especially gall bladder was palpable in 20. 9% of surgical jaundice and in none of medical jaundice, 4. Mean+S.D. of serum alkaline phosphatase are 34 05+23.16 King-Armstrong unit in surgical jaundice and 17. 42+7. 48 King Armstrong unit in medical jaundice. 5. 6. 4% of surgical j;undice and 50% of medical jaundice show over 300 Karmen unit of SGOT and 2. 1% of surgical jaundice and 62 9% of medical jaundice show over pOQ Karmen unit of SGPT. But none of surgical jmndice showes over 900 Karman unit of SGOT and SGPT. SGOT/SGPT ratio showes 1. 67+0. 74 in surgical and 1. Og+0 gg in medical jaundice. 6. Mean+S.D. of serum cholesterol are 271. 73+91. 61 in surgical and 210. 56<81. 54 in med- ical jaundice. 7. SGOT/Alkaline phosphat;ase relation is not significant in differential diagnosis of sur- gical jaundice from medical jaundice because of low sensitivity (57. 2% in surgical jaundice .and 64. 7% in medical jaundice).
간침생검으로 (肝針牲檢) 확진된 (確診) 각종 간암 (肝癌) 174예에서 SGOT / SGPT 비
백홍선,박성광,임창열,이용구,홍복희,안득수,손장신,박숙자 ( H S Baek,S K Park,C Y Yim,Y K Lee,B H Hong,D s Ahn,J S Son,S J Park ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1
The SGOT/SGPT ratios were observed in 174 cases of various histologic types of hepatoma confirmed by needle biopsy, consisted of 164 cases of primary hepatoma and 10 cases of metastatic adenocarcinoma during the period of about 4 years from Jan. 1976 to Dec. 1979 in Jeon Bug National University Hospital and Jeon Ju Presbyterian Medical Center. The results were as follows: 1. Ratio of primary hepatoma to metastatic adenocarcinoma was lg.4: 1 and ratio of hepa- tocellular carcinoma to cholangiocarcinoma was 18. 6: I. Histologic types of primary hepatic carcinoma showed 153 cases(93.3%) of hepatocellular carcinoma, 8 cases(4.9%) of cholangiocarcinoma, 2 cases(I.2%) of hepatoblastoma and a case of mixed type. 2. Sex ratios(man to woman) were 4. 7: 1 in primary hepatoma group, 4. 1: 1 in metastatic adenocarcinoma group, 4. 5: 1 in hepatocellular carcinoma group and 7: 1 in cholangiocarcin- oma group. In hepatocellular carcinoma group, the most frequent decade was 6 th, 5 th, and 7 th decade in order(The mean age was 50. 7 years). In cholangiocarcinoma group, the age distribution was peak in 4th decade(Mean age was 56. 2 years) 4 Mean values of SGOT and SGPT were 98.4 and 50.6 Karmen unit respectively in primary hepatoma group. The SGOT/SGPT ratio was l. 93>0. 48 in primary hepatoma group. 5 In metastatic adenocarcinoma group, mean values of SGOT and SGPT were 48 and 49 Karmen unit respectively and the SGOT/SGPT ratio was 0. 97. 6, None of the metastatic adenocarcinoma patients had above 13 gm% of hemoglobin. But 9.2% of primary hepatocellular carcinoma patients showed over 15. 5 gm% of hemoglobin. 7 Alkaline phosphatases in primary hepatoma group and metastatic adenocarcinoma group were 3. 7 times(8. 66 Bessay-Lowry unit) and 4. 2 times(9. 87 Bessey-Lowry unit) as normal values respectively.