대한한방소아과학회지 (The Journal of Pediatrics of Korean Medicine)

  • 제24권3호
  • /
  • Pages.43-49
  • /
  • 2010
  • /
  • 1226-8038(pISSN)
  • /
  • 2287-9463(eISSN)
대한한방소아과학회 (The Association of Korean Oriental Pediatrics)
권호 표지

복부 초음파 검사로 진단받은 급성 충수염 환아 증례 보고

A Case Report of Patient with Acute Appendicitis Diagnosed by Abdominal Ultrasonography

  • 유수향 (동신대학교 한의과대학 소아과학교실) ;
  • 김오영 (동신대학교 한의과대학 사상내과) ;
  • 채중원 (동신대학교 한의과대학 소아과학교실)
  • Ryu, Su-Hyang (Department of Pediatrics, College of Oriental Medicine, Dongshin University) ;
  • Kim, Oh-Young (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Dongshin University) ;
  • Chae, Jung-Won (Department of Pediatrics, College of Oriental Medicine, Dongshin University)
  • 투고 : 2010.11.23
  • 심사 : 2010.12.18
  • 발행 : 2010.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study was to evaluate the effects of herbal medication and acupuncture therapy for children with acute appendicitis diagnosed by abdominal ultrasonography. Methods: Kamieuiyeeintang, a Korean Herb medicine, and acupuncture were given for four days. The abdominal ultrasonography and VAS scale were used to check the improvements. Results: Right lower abdominal pain, nausea and anorexia were totally gone after the treatments, and the abdominal ultrasonography showed normal. Conclusions: The result of this study showed that Kamieuiyeeintang medication and acupuncture treatment have cured acute appendicitis.

키워드

참고문헌

  1. Marchildon MB, Dubgeon DL. Perforated appendictis; Current experience in a children's hospital. Ann Surg. 1977;105:84.
  2. 이용찬 역. 소화기질환 Part 6. 서울:정담. 2008:153-4.
  3. 대한가정의학회. 가정의학<임상편>. 서울:계축문화사. 2003:956-60.
  4. Douglas CD, Macpherson NE, Davidson PM, Gani JS. Randomised controlled trial of ultrasonography in diagnosis of acute appendictis, incorporating the Alvarado score. BMJ. 2000;321:919-22. https://doi.org/10.1136/bmj.321.7266.919
  5. Martin AE, Vollman D, Adler B, Caniano DA. CT scans may not reduce the negative appendectomy rate in children. J Pediatr Surg. 2004;39:886-90. https://doi.org/10.1016/j.jpedsurg.2004.02.034
  6. Brandt MM, Wahl WL. Liberal use of CT scanning helps to diagnose appendictis in adults. Am J surg. 2003;69: 727-32.
  7. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15:557-64. https://doi.org/10.1016/S0196-0644(86)80993-3
  8. 김기봉, 김덕곤, 김윤희, 김장현, 민상연, 박은정, 백정한, 유선애, 이승연, 이진용, 이해자, 장규태, 채중원, 한윤정, 한재경. 한방소아청소년의학. 서울:의성당. 2010:417-9.
  9. 허준. 동의보감. 서울:법인문화사. 2005:2682-5.
  10. 楊維傑. 楊維傑全集3. 고양:대성의학사. 2007:895-6.
  11. Curran TJ, Muenchow SK. The treatment of complicated appendicitis in children using peritoneal drainage: results from a public hospital. J Pediatr Surg. 1993;28:204-8. https://doi.org/10.1016/S0022-3468(05)80276-3
  12. E. Braunwald 외. HARRSON'S 내과학 제2권. 서울:도서출판 MIP. 2003:1757-8.
  13. Teicher I, Landa B, Cohen M, Kabnick LS, Wise L. Scoring system to aid in diagnoses of appendicitis. Ann Surg. 1983;198:753-9. https://doi.org/10.1097/00000658-198312000-00014
  14. Current Medical Diagnosis & Treatment. 서울:도서출판 한우리. 2000:679-80.
  15. Karakas SP, Guelfguat M, Leonidas JC, Springer S, Singh SP. Acute appendicitis in children: comparison of clinical diagnosis with ultrasound and CT imaging. Pediatr Radiol. 2000;30:94-103. https://doi.org/10.1007/s002470050023
  16. 오보영, 김광호, 이령아, 정순섭. 급성 충수돌기염 진단시 연령에 따른 Alvarado Score의 진단적 가치. J Korean Surg Soc. 2010;78:100-5. https://doi.org/10.4174/jkss.2010.78.2.100
  17. 전규하, 전봉춘, 이현규, 배종대, 김낙희, 하동엽, 정호근, 정기훈, 정병욱. 5세 이하 소아의 급성 충수염에 관한 임상적 고찰. 대한외과학회지. 2005;69(5):412-6.
  18. 원광대학교 한의과대학 비계내과학교실. 신비계내과학. 익산:원광대학교 출판국. 1996:549-53.
  19. 朴炳昆. 增補 漢方臨床四十年. 서울:대광문화사. 1996:160-7.
  20. 尹泰汝. 加味薏苡仁湯의 抗炎症作用에 대한 실험적 연구. 대한한방내과학회지. 1976;1(1):64-9.
  21. 闫绳华, 钱道乾. 自拟阑尾清化汤治疗阑尾炎50例. 陕西中医学院学报. 2005;28(1):52.
  22. 田兴国. 中医药治疗急性阑尾炎 54例. 河北中醫. 1996;18(6):24.
  23. 马承芬. 针灸治疗阑尾炎. 1994;4:101.
  24. Bollinger RR, Barbas AS, Bush EL, Lin SS, Parker W. Biofilms in the large bowel suggest an apparent function of the human vermiform appendix. Journal of Theoretical Biology. 2007;249(4):826-31. https://doi.org/10.1016/j.jtbi.2007.08.032