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Halothane 마취후 발생한 간괴사 13예의 임상적 고찰
이용구(Y K Lee),김학철(H C Kim),조원섭(W S Cho),조정구(C G Cho) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A There were many controversies concerning halothane-induced hepatitis, but a few cases suggest there was clinical, historical, biochemical, immunologial and epidermiological evidence to support theory of halothane induced hepatitis. We described 13 cases who had otherwise unexplained hepatitis after halothane anesthesia. The clinical features and complications were similar to those of any other severe hepatitis, but some differences were noticed. We obtained the results as followings; 1) The most common clinical symptom was high fever, which was noticed in 12 of the 13 cases, and it occurred between the 4th to 16th postoperative day, and its duration was variable, but ranging from 3 to 10 days. 2) The other clinical symptoms were non-specific G-I symptoms, myalgia, headache, easy fatigue and jaundice. And constitiutional prodromal symptoms were developed during or after the post-febrile period, but gradually subsided after the onset of clinical jaundice. 3) Abnormal laboratory findings, espicially AST and ALT, showed a variable increase during the onset of the febrile period or at its conclusion. The peak levels of serum aminotransferases were noticed at the end of febrile period, or the post-febrile period and they gradually normalized after 3 to 6 weeks in the most of the cases. 4) The relative frequency of the unexplained hepatitis was observed as follows; in the 13 cases; above the umbilicus of the operaive site (9), hypotension during operation (8), previous history of surgery under general anesthesia (4), obesity (5). And the fatality rate was 15.1% (2), these two cases showed a prolongation of the prothrombin time 8 seconds over the normal control time.