담도계질환때의 간기능검사, 혈액 및 뇨소견의 임상통계적 고찰

초록

Multiple clinical experiments and reports have suggested that certain parenchymal damages in liver were elicited by extra-hepatic biliary diseases in due time. Authors examined patients suffered from biliary diseases treated at the Surgical Dept. of Woo Suk Medical College Hospital for the past 5 years, from Jan. 1963 to Dec. 1967. 154 cases are studied in this series and following results are obtained: 1. In most cases, G.O.T. and G.P.T. levels were within normal limits. However slight elevation in both values was observed in the common duct stone and chronic cholecystitis. In most occasions, G.P.T. levels were found to be slightly higher than G.O.T. levels. 2. Alkaline phosphatase was elevated markedly in the cases of cholelithiasis and choledocholithiasis. In patients with acute and chronic cholecystitis, moderate elevation was seen. 3. Total cholesterol was slightly increased in the cases of stones in biliary trees and chronic cholecystitis. 4. Total bilirubin levels over 1.5 mg% were found in 20.7% of overall cases and in the cases of chronic cholecystitis, 53% of cases were found to be over 1.5 mg%. 5. Thymol turbidity levels over 4.0 unit was seen in 18.1% of overall cases and in patients with chronic cholecystitis, 44% were above this level. 6. Coincident pancreatitis was seen in 3.8% of the cases and jaundice in 18% of all cases. 7. In urinary protein, over one positive was found in 12.3% of all cases. 8. Leucocytosis over 10,000/mm³ was found in 38.3% of the cases.