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The Journal of Internal Korean Medicine > Volume 26(4); 2005 > Article
The Journal of Internal Korean Medicine 2005;26(4): 836-843.
간경변으로 입원한 환자 33례에 대한 분석
최영규, 최서형, 심민1, 김태수, 민지연2
1하나한방병원 내과
2하나한방병원 침구과
The Clinical Study on 33 Cases of Liver Cirrhosis
Young-gyoo Choi, Seo-hyoung Choi, Min Sim1, Tae-soo Kim, Ji-yeon Min2
1Department of Internal Medicine, Hospital of Hana Oriental Medicine
2Department of Acupunture & Moxibustion, Hospital of Hana Oriental Medicine
Correspondence  Young-gyoo Choi ,Tel: 032-320-8710, Fax: 032-320-8877, Email: nesnepho@hanmail.net
Received: August 29, 2005,   Accepted: September 16, 2005,   Published online: December 30, 2005.
ABSTRACT
Objective :
Liver cirrhosis is a disease of the liver in which normal cells are replaced by scar tissue. Chronic liver disease and liver cirrhosis are the foutth ranked causes of death in Korea. However, clinical data on liver cirrhosis is not accumulated in oriental medicine. Therefore, clinical characteristics of 33 liver patients admitted to Hana Oriental Hospital from May 2004 to May 2005 were studied.

Methods :
Clinical characteristics of liver cirrhosis, such sex, age, causes, Child-Pugh class, chief complain, abdomen ultrasonography, disease duration, past history, blood test and and urinalysis were reviewed.

Results:
The results of this study were as follows: 1. The distribution of sex and age in our study is similar to already reported statistics. 2. Hepatitis B and alcohol are the major factors to cause the liver cirrhosis. Diabetes and hypertention contribute more to cause than they have in previous histories. 3. Major symptoms are following: fatigue 87.9%, ascites 84.8%, jaundice 78.8%, leg edema 72.7%, dyspepsia 45.5%. 4. Most liver cirrhosis patients have pancytopenia. Standard Deviation accentuates the big differences between total bilirubin and serum amonia. 5. In urinalysis, Urobilinogen 19 patients (57.6%), bilirubin 12 patients (36.4%), blood 15 patients (45.5%) are positive. 11 cases of 15 in blood positive results scored 3~4+.

Conclusions:
In oriental medicine, it will be necessary to research and develop oriental medical therapies for liver disease including liver cirrhosis.
Key words: Liver Cirrhosis, Child-Pugh class, Hepatitis
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