항응고제 사용이 불가능했던 폐색전증 환자에 대한 혈부축어탕 치험 1례
A Case of Pulmonary Embolism Patient Contraindicated in the Use of Anticoagulants Improved by Administering Hyulbuchuko-tang
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: This case report shows the effect of Hyulbuchuko-tang on a patient with a contraindication to anticoagulants who complained about dyspnea caused by pulmonary embolism (PE). Case report: A PE patient with dyspnea was treated with herbal medication, Hyulbuchuko-tang, for 28 days. Evaluations took place by assessing time for oxygen application time per day, follow-up chest CT, and D-dimer test results. Oxygen application time per day decreased, and oxygen therapy ended on the 14th day of Hyulbuchuko-tang treatment. Follow-up chest CT showed resolution of PE. The D-dimer level decreased on the 24th day and decreased more after 1 month later. Conclusion: This clinical case study suggests that Hyulbuchuko-tang might be effective in the resolution of PE and can be an option as a treatment for PE patients with contraindications to anticoagulants.
Abstract
Background: This case report shows the effect of Hyulbuchuko-tang on a patient with a contraindication to anticoagulants who complained about dyspnea caused by pulmonary embolism (PE). Case report: A PE patient with dyspnea was treated with herbal medication, Hyulbuchuko-tang, for 28 days. Evaluations took place by assessing time for oxygen application time per day, follow-up chest CT, and D-dimer test results. Oxygen application time per day decreased, and oxygen therapy ended on the 14th day of Hyulbuchuko-tang treatment. Follow-up chest CT showed resolution of PE. The D-dimer level decreased on the 24th day and decreased more after 1 month later. Conclusion: This clinical case study suggests that Hyulbuchuko-tang might be effective in the resolution of PE and can be an option as a treatment for PE patients with contraindications to anticoagulants.
참고문헌 (21)
- Dantzker DR, "Cardiopulmonary critical care", pp.731~768 (1991), WB Sauders
- Manganelli D, "Clinical features of pulmonary embolism:douts and certainties", Chest, 107(1), pp.25S~32S (1995)
- 김양기, "정맥혈전증의 최신 치료: 항응고치료를 중심으로", 대한내과학회지, 84(5), pp.659~669 (2013), 대한내과학회[DOI]
- Fauci AS, "Harrison's principles of internal medicine", pp.1634~1636 (2015), McGraw-Hill Medical
- White RH, "A population-based study of the effectiveness of inferior vena cava filter use among patients with venous thromboembolism", Arch Intern Med, 160(13), pp.2033~2041 (2000)
- 장수빈, "Development of questionnaire for metabolic disease with blood stasis: A Delphi survey", 대한예방한의학회지, 22(3), pp.83~89 (2018), 대한예방한의학회[DOI]
- Cha SI, "Thrombolysis in Massive Pulmonary Embolism", Clin Exp Thromb Hemost, 3(1), pp.8~11 (2017)
- Osita N Okafor, "Endogenous Fibrinolysis:An Important Mediator of Thrombus Formation and Cardiovascular Risk", Journal of the American College of Cardiology, 65(16), pp.1683~1699 (2015)
- 王淸任, "醫林改錯", pp.24~28 (1995), 中國中醫藥出版社
- Lee MS, "Antithrombotic Activity and Protective Effects of hexane fraction of Kamihyulbuchukeotang (KHBCT) on brain injury by KCN and MCA occlusion", Kor J Pharmacongn, 31(4), pp.373~382 (2000)
- Oh GS, "The effect of Heulbuchuketang on endometriosis", Journal of Korean Medicine, 18(2), pp.273~282 (1997)
- 한인식, "혈부축어탕의 본태성 고혈압에 대한 치료 효과 관한 메타 분석 및 체계적 고찰", 대한한방내과학회지, 39(6), pp.1150~1167 (2018), 대한한방내과학회
- 김윤용, "瘀血로 인한 怔忡, 驚悸환자의 血府逐瘀湯 치험례", 동의신경정신과학회지, 20(3), pp.249~259 (2009), 대한한방신경정신과학회
- 양동선, "혈부축어탕으로 호전된 자궁적출술 환자 치험 3례", 대한한방부인과학회지, 24(4), pp.205~212 (2011), 대한한방부인과학회
- Kim YS, "The Effects of Hyulbuchukotang (HCE) on the Thrombosis Related Factors", Korean J Orient Int Med, 21(5), pp.819~827 (2000)
- 강지석, "뇌출혈로 항응고제 사용이 불가능한 심부 정맥혈전증에 대한 혈부축어탕 치험례", 대한한방내과학회지, 30(2), pp.438~449 (2009), 대한한방내과학회
- 이명화, "심부정맥혈전증에 대한 혈부축어탕의 치험 1례", 대한한방내과학회지, 37(2), pp.315~321 (2016), 대한한방내과학회
- Yang NY, "Antithrombotic lipids from Semen Persicae", Nat Prod Res, 25(17), pp.1650~1656 (2011)
- Zhou X, "Towards a better understanding of medicinal uses of Carthamus tinctorius L. in traditional Chinese medicine:a phytochemical and pharmacological review", J Ethnopharmacol, 151(1), pp.27~43 (2013)
- 신용준, "허혈성 뇌졸중 흰쥐에서 당귀의 부위에 따른 뇌신경보호효과 비교 연구", 대한본초학회지, 29(6), pp.85~93 (2014), 대한본초학회
- Tripodi A, "D-dimer 검사의 실제", Laboratory Medicine Online, 2(3), pp.119~125 (2012), 대한진단검사의학회[DOI]
