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KMID : 0371319770190010057
Journal of the Korean Surgical Society
1977 Volume.19 No. 1 p.57 ~ p.63
The Correlationship between Hepatic & Abrenocortical Function in Surgical Patients

Abstract
The fact that the plasma level of adrenocortical hormone is significantly influenced by hepatic function has been advocated by many authors. Impaired hepatic function thus leads to increased plasma level of adrenocortical hormone by impairment of clearance of the hor-mone -in. plasma. So postoperative increase of plasma adrenocortical hormone should be cons-idered in the view of increased production or decreased removal of the hormone due to -postoperative impairment of hepatic function.
In this review, authors investigated pre & postoperative adrenocortical function in 10 cases, of normal. liver function, and 10 cases ofabnormal liver function. The results obtained are as follows:
1) Control vfdlues of plasma adrenocortical hormone were not significantly different in both groups. (p>0. 05).
2) The clearance of adrenocortical hormone in plasma was signif icantly delayed in patients, of abnormal hepatic function(p<0.05)
3) Postoperative increase in plasma adrenocortical `hormone tended to be proportional-to the degree-of impairment of hepatic function.
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