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Ameba性 및 化膿性肝膿瘍에 對한 臨床的 考察

Clinical observation on the Amebic and Pyogenic Liver Abscess

전남의대잡지 1965년 2권 1호 p.93 ~ 100
윤종만,
소속 상세정보
윤종만 (  ) - 전남대학교 의과대학 내과학교실

Abstract


Clinical study was made on 31 patients with liver abscess. In order to make comparison, the series was divided into amebic and pyogenic abscess.
1) Of the series, 18 patient(58%) were amebic and 13(42%) progenic abscesses. In amebic abscess, male to female ratio was 8 to 1, with the peak incidence in the 3rd decade, whereas in pyogenic abscess it was 3 to 1, with the highest occurence in the 5th decade.
2) In the great majority of the patient, pain in the right hypochondria, fever and chillness were presenting complaints. Hepatomegaly from one up toten finger breadths below the costal margin was noted in 14 cases(77. 7%) of amebic abscess and in 10 cases(77%) of pyogenic abscess.
3) E.S.R. was markedly increased in both groups. There were mild anemia and leukocytosis, The ]alter was more marked in pyogenic abscess.
4) B.S.P. retention was increased in amebic abscess. Alkaline phosphatase was elevated in both groups.
5) Total serum protein is normal in the amebic abscess but slightly decreased in pyogenic abscess. On electrophoresis, both alpha- and gamma-globulin were increased in both groups, Elevation of gamma-globutin wasmore prominent in amebic abscess.
6) Roentgenologic manifestations of liver abscess in the series were heratomegaly, elevation of right diaphragm, angular effusion and basal atelectasis in the right base. These findings were noted in 15 cases(83%) of amebic and in all pyogenic abscess.
7) Liver puncture for aspiration of the abscess yielded ·average amount of 1954m1 in amebic abscess and 127m1. in pyogenic abscess respectively.
8) All the amebic abscess were managed successfully with medical treatment. Pyogenic abscess showed 15% mortality.

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