반부성(反復性) 구토(嘔吐) 및 복통(腹痛), 두통(頭痛)을 동반(同伴)한 소아(小兒) 자율신경발작(自律神經發作) 1예(例) 보고(報告)

A Case Report of Autonomic Seizure with Recurrent Vomiting, Abdominal pain and Headache

  • 구은정 (경산대학교 한의과대학 부속 대구한방병원 소아과학교실) ;
  • 이재원 (경산대학교 한의과대학 부속 대구한방병원 소아과학교실)
  • Ku, Eun-Jeong (Dept. of Pediatrics, College of Oriental Medicine, Kyung San University) ;
  • Lee, Jae-Won (Dept. of Pediatrics, College of Oriental Medicine, Kyung San University)
  • 발행 : 1996.10.30

초록

Epilepsy is a chronic cerebral. disease resulting from a variety of factors, which is a syndrome with chief complaint of recurrent seizure caused by abnormal electrical discharge of cerebral nerve cell, while the clinical result showed that epilepsia occurs more frequently in pediatrics. A Child having the chief complaint of recerrent vomiting for 2 months undergone the brain and abdominal C.T, MRI, and gastric endoscopy, when the child was normal. While vomiting gas too serious to administer a medicine, a cyclic vomiting repeated with its discontinuation for 2-3 days after continuation for 10 days. As a result, the child visited the ambulatorium of our hospital and then was hospitalized and treated over two times, when there was a remarkably improvement. There was no any particular complaint for 1 year and 2 months, then, the child complained moderate headache. For thjs reason, we performed again electroencephalography, when there appeared in epilepsia opinion. Since then, we have experienced a case of autonomic nervous seizure which was significantly improved by anticonvulsant, and a therapy by using the phlegm resolvents and central stimulants for treating epilepsy(豁痰醒腦治癎法) as an oriental medicine. Therefore, it is to report both treatment view of oriental medicine and analysis on Oriental and Western medical literatures.

키워드

참고문헌

  1. 小兒 診斷과 藥物療法 趙允成
  2. 小兒科槪要 李尙柱
  3. 神經外科 診察法 太田富雄
  4. 神經學 朴忠緖
  5. 소아과학 洪彰義
  6. 임상소아신경학 前川喜平
  7. 中醫兒科學 王伯岳;江育仁;張奇大;卓權;朱文中;衷誠偉 等
  8. 中醫兒科學 江育仁;王玉潤
  9. 中醫兒科學 江育仁
  10. 東醫小兒科學 丁奎萬
  11. 中醫臨 床大全 楊思澍;張樹生;傳景華
  12. 中醫學問答(下) 楊醫並
  13. 實用中醫 腦病學 陳輝
  14. 小兒難病回春新方 蔡化理
  15. 中醫兒科學 衷誠偉
  16. 中醫兒科 江育仁
  17. 大韓韓醫學會誌 v.4 no.1 小兒癎疾의 病因病理에 관한 文獻的 考察 김덕곤;정규만
  18. 대한소아과학회지 v.36 no.3 소아 간질치료에 Valproic Acid의 효과에 관한 연구 최혜진;이건수
  19. 대한소아과학회지 v.38 no.8 난치성 소아간질 환자에서 Zonisamide의 효과에 관한 연구 김기중;채수안;고태성;김동욱;황용승
  20. Textbook of Pediatrics Rhchard E. Behrman;Robert M. Kliegaman;Waldo E. Nelson;Victor C. Vaughan III
  21. 대한소아과학회지 v.36 no.3 간질환아에서 항경련제 단독 투여시 부작용에 대하여 이건희;윤혜선
  22. 臨床神經診察法 金枓元
  23. Pediatrics Abraham M. Rudolph;Julien I.E. Hoffman;Susan Awelrod
  24. Current Therapy Joel N. Abramovitz;Robert G. Addison;Raymond Alexanian;Bobby R. Alford;Francisco Ampuero;Craig L. Anderson(et al.)
  25. 實用中西結合診斷治療學 陳貴延;楊思澍
  26. 小兒腦波學 安昌一
  27. 대한소아과학회지 v.36 no.6 熱性痙攣에 관한 臨床的 考察 이정화;유기환;홍영숙;이주원;김순겸
  28. 東醫 臨床 方劑學 尹吉榮
  29. 증례로 배우는 통증치료 木村邦夫
  30. 國譯醫方集解 蔡仁植;孟華燮
  31. 소아과 진료 洪彰義
  32. 大韓韓方小兒科學會誌 v.4 no.1 小兒癎疾의 病因病理에 관한 文獻的 考察 이한철;박은정;채중원;김덕곤
  33. 實用中醫內科學 黃文東;方藥中;鄧鐵濤;李克光;金壽山;黃星垣 等