抄録
The incidence and the background factors of post operative hepatitis were investigated on 248 cases from Sept. 1961 to June 1966. As the criteria for diagnosis, transaminase (over 100 units), BSP (over 10% for 45 min.), serum colloidal reaction (positive over 2 items), and compare with the meulengracht units, urobilinogen units in urine and subjective complaints were employed.
1) Hepatitis was recognized in 79 cases (31.8%). Out of the 79, 50 cases (20.2% of total cases) developed jaundice. (63.4% of hepatitis cases).
2) Relaton of the type of blood used to the incidence of hepatitis;
The group in which non-selected blood was used: 44/130 (33.9%).
The group in which the blood of normal valued GPT in serum, was used: 32/105(31.0%)
The group in which the donated or banked blood, was used: 3/13 (23.1%).
(Case of hepatitis/total case)
3) Relation of the operation type to the incidence of hepatitisl;
resection cases 179.......hepatitis cases 63 (35.2%)
collaps cases 69.........hepatitis cases 16 (23.2%)
4) Age, Sex, the size of transfusion and the anti tbc, agents used had no relation to the incidence of hepatitis.
5) Out of 79 cases of hepatitis, 58 cases (73.5%) developed within 2 months after operation and 6 cases (7.6%) appeared after 4 months of operation.
6) Out of 79 cases, 29 were prolonged hepatitis type.
7) GPT was superior as the diagnostic method, GOT and BSP were the next.
8) The use of steroid hormons with liver preparation was effective on recovery of the hepatitis.
