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KMID : 0882419780210050421
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Korean Journal of Medicine
1978 Volume.21 No. 5 p.421 ~ p.430
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Clinical Observation of 30 Cases of So - Called Extreme Hyperbilirubinemia
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Kim Yak-Ho
Moon Chong-Woong
Hyun Sung-Taek
Shin Hyun-Koo
Park Young-Choon
Park Sang-Yeoul
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Abstract
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Thirty cases of so-called "extreme hyperbilirubinemia", above 30mg% of serum robin, were reviewed. Those 30 patients, among 1 140 cases of hepatobiliary disease, were admitted to presbyterian hospital betweenl974 to 1976 and the ffowing results were obtained.
1) The most of causative diseases of exterme by perbilirubinemia were hypatitis(23 case.) and the remainder were hepatoma (3 cases), spherocytosis with cholelithiasis, (1 case) and malignant obstruction of extrahepatic biliary tract(3 cases), all cases of malignant obstruction of extrahepatic biliary tract manifested transient extreme hyperbili binemia after surgery.
2) In a half cases of hepatitis reveal,- high serum BUN and creatinine levels.
3) In cases of malignant obstruction of extrahepatic biliary tract manifested transient e- treme hyperbilirubinemia associated with high ser BUN and creatinine levels after surgery.
4) The prognosis revealed extremely poor in cases of hepatitis with extreme hyperbi-1irubinemia (The20 cases of 23 were died during hospitalization. However might be expected in good prognosis in cases with high level of prothrombin time- during the course of disease.
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