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食道靜脈瘤의 臨床的 考察

The Clinical Studies on the Esophageal Varices

고려대학교의과대학잡지 1979년 16권 3호 p.525 ~ 531
常華春, 高侊道,
소속 상세정보
常華春 (  ) - 高麗大學校 醫科大學 內科學敎室
高侊道 (  ) - 高麗大學校 醫科大學 內科學敎室

Abstract


The esophageal varices were classified endoscopically into 4 grade on 96 cases of liver cirrhosis, 9 cases of hepatoma, 8 cases of liver cirrhosis with hepatoma, 3 cases of acute hepatitis and 7 cases of chronic hepatitis according to Endo´s classification.
I studied the relationship between the grade of esophageal varices and the incidence of varix bleeding, splenomegaly, hepatomegaly, abdominal superficial vein dilatation, ascites, serum albumin Ievel and globulin level.
The results were summarized as follows.
1. As the increment of the grade of esophageal varix, the incidence of varix bleeding was increased.
2. As the increment of the grade of esophageal varix, the incidence of splenomegaly were increased. Bleeding groups were more common in splenomegaly, but there were no relationship between the hepatomegaly and the grade of esophageal varices.
3. As the increment of the grade of esophageal varices, abdominal superficial vein dilatation were more prominent. Bleeding group showed 53.5% and non-bleeding group showed 37.4% There were no relationship between the severity of esophageal varices and the presence of ascites.
4. As the increment of the grade of esophageal varices, serum albumin levels were decreased. The bleeding group denoted 2.530.5g/dl which was lower than non-bleeding group of 2.920.7g/dl.
The gamma globulin levels had no relationship between the grade of esophageal varices. And the gamma globulin levels were higher in the non-bleeding group than the bleeding ,-group.

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