Abstract |
The liver function test was performed by means of two
radioisotope tracer techniques in 20 normal subjects
and in 63 patients with hepatobi]iary diseases. The
blood disappearance rates of 131I-rose bengal and of
198Au colloid were determined by external counting
method. The hepatocellular function and the hepatic
blood flow were estimated from the observed data and-
the results were compared with those of the
conventional liver function tests. The results obtained
were as follows : 1. The mean blood disappearance half
time of 131I-rose bengal was 6.6¡¾0.63 minutes in
normal control, 17.7¡¾6.93 in cirrhosis of the Jii
er, 16.6¡¾4. 80 in acute hepatitis, and 14 7¡¾ 3.
46 in obstructive jaundice. It was markedly prolonged
in the hepatobiliary disesses as compared with the
normal control, but there was no significant difference
among the hepatobiliary diseases. 2.The mean blood
disappearance half time of 'Au colloid was 4. 0¡¾0.
66 minutes in normal control, 9.8¡¾3.42 in cirrhosis
of the liver, 4.4¡¾0.82 in acute hepatitis, and
5.0¡¾1.42 in obstructive jaundice. The difference
between cirrhosis of the liver and normal control was
statistically significant. However, there was no
definite difference among acute hepatitis, obstructive
jaundice, and normal control. The mean blood
disappearance rate constant (K value) was
0.177¡¾0.028/minute in normaI control, In cirrhosis
of the liver, it was markedly decreased which was
suggestive of the reduced hepatic blood flow. 3. The
ratio of 131I-rose bengal blood disappearance half time
to 'Au colloid disappearance half time was 1.68¡¾0.20
in normal contro1, 1.82¡¾0.31 in cirrhosis of the
liver, 3.80¡¾0.82 in acute hepatitis, and
3.01¡¾0.54 in obstructive jaundice. The ratios in
acute hepatitis and obst-ructive jaundice were
remarkably higher than those in normal control and
cirrhosis of the liver. 4. There was a significant
correlation between the blood disappearance half time
of 131I-rose bengal and that of 198Au colloid in
cirrhosis of the liver. 5. In cirrhosis of the liver,
the blood disappearance half times of 131I-rose bengal
and of 198Au colloid were inversely correlated to the
serum albumin level. In acute hepatitis, there was a
good positive correlation between the blood
disappearance half time of 131I-rose bengal and the
serum transaminase activities. In obstructive jaundice,
the blood disappearance half time of 131I-rose bengal
was correlated to the serum bilirubin level. |