J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 270KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(2): 155-158, 1993

Original article

PROGNOSTIC JUDGMENT OF FULMINANT HEPATITIS BY MEASUREMENT OF HEPATOSPLENIC VOLUME RATIO BY COMPUTED TOMOGRAPHY

1) Department of Surgery, Kansai Medical University, Moriguchi, Japan
2) Department of Emergency and Critical Care Unit, Kansai Medical University, Moriguchi, Japan

Shoji Uetsuji1), Manabu Yamamura1), Hisanao Komada1), Yoshinori Okuda1), Koshiro Hioki1), Yasunari Uedono2), Takaya Tanaka2)

The liver and spleen volume ratio (S/L ratio) was estimated with X-ray computed tomography and evaluated by comparison with the prognosis in 10 patients with fulminant hepatitis.
S/L ratio of control group (n=10) was 0.122±0.026 (mean±SD), that of the alive group with fulminant hepatitis (n=5) was 0.112±0.021, and that of the dead group (n=5) was 0.308±0.136. There is a significant difference between S/L ratio of control group and that of the dead group with fulminant hepatitis.
The rise of S/L ratio on the patients with fulminant hepatitis reflects the liver atrophy or splenomegaly and the prognosis was poor. The prognosis of the patients with fulminant hepatitis, whose S/L ratio indicated the near value of control group, was good.
The measurement of S/L ratio by computed tomography was considered to be useful to evaluate the prognosis of fulminant hepatitis.

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