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KMID : 0438219790160010229
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Korea University Medical Journal
1979 Volume.16 No. 1 p.229 ~ p.236
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The Clinical Studies on the Diseases Complicated by Ascites
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Abstract
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A clinical study was performed on 151 cases of diseases complicated by ascites who had been admitted to the department of Gastroenterology, Korea University Hospital from March 1975 to February 1978. The results were summarized as follow.
1. The total protein content of the ascites was highest in tuberculous peritonitis, ovary cancer, stomach cancer, hepatoma, liver cirrhosis and nephrotic syndrome in the descending order. The order was same in the specific gravity of the ascites and in the ascites/serum ratio of total protein.
2. The glucose concentration of the ascites was increased in liver cirrhosis and decreased in tuberculous peritonitis.
3. The chloride content of the ascites was elevated than blood level in all diseases except tuberculous peritonitis.
4. The lactic dehydrogenase (L. D. H) activity of the ascites was highest in ovary cancer, tuberculous peritontis, stomach cancer, hepatoma, liver cirrhosis in the descending order. The ascites/serum ratio of LDH activity was highest in ovary cancer, stomach cancer, tuberculous peritonitis, hepatoma, and liver cirrhosis in the descending order.
5. Erythrocyte count of the ascites was significantly elevated in hepatoma and ovary cancer. In tuberculous peritonitis and stomach cancer, erythrocyte count was moderately elevated. Leukocyte count was significantly elevated in stomach cancer and tuberculous peritonitis. In all the diseases, lymphocyte composition was more than 55% and most prominant in tuberculous peritonitis.
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