대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지
DOI QR코드

DOI QR Code

저나트륨혈증으로 이뇨제를 중단한 간경변 환자 복수에 대한 한방치료 1례

A Case Study of a Patient Who Discontinued Diuretics due to Hyponatremia and Was Treated with Korean Medicine for Ascites

  • 배인후 (경희대학교 대학원 임상한의학과) ;
  • 김근영 (경희대학교 대학원 임상한의학과) ;
  • 정성훈 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과)
  • In-hu, Bae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Geun Young, Kim (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong Hoon, Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ki-Ho, Cho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Sang-Kwan, Moon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Woo-Sang, Jung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seungwon, Kwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2022.09.14
  • 심사 : 2022.11.22
  • 발행 : 2022.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study examined a case of an 80-year-old woman with extensive ascites and hypervolemic hyponatremia due to decompensated liver cirrhosis. Methods: The patient was first treated with a diuretic to treat her ascites. However, during hospitalization, she developed hypervolemic hyponatremia due to liver cirrhosis. Therefore, we discontinued the diuretic and treated her with Korean herbal medicine (Insamyangyoung-tang with Oryeong-san). We measured her abdominal circumference, followed by radiography, to evaluate the effect of Korean herbal medicine. Result: We treated the patient only with Korean medicine and without diuretics, and her ascites was successfully reduced. No recurrence was observed. Conclusion: Korean herbal medicine can be used as an adjuvant therapy for patients with ascites and hyponatremia.

키워드

참고문헌

  1. Gines P, Quintero E, Arroyo V, Teres J, Bruguera M, Rimola A. Compensated cirrhosis: natural history and prognostic factors. Hepatolog 1987;7(1):122-8. https://doi.org/10.1002/hep.1840070124
  2. Lee JS. Differential Diagnosis of Ascites. Postgraduate Courses 2012;2012(1):75-9.
  3. Kim BH. Decompensated Cirrhosis : Ascites & Hepatorenal Syndrome. Clinical and Molecular Hepatology 2010;16(2s):59-72.
  4. Jang CM, Jung YK. Hyponatremia in Liver Cirrhosis. Korean J Gastroentero 2018;72(2):74-8. https://doi.org/10.4166/kjg.2018.72.2.74
  5. Heo NY. Management of Cirrhotic Ascites. The Korean Association for the Study of the Liver 2018;2018(1):338-42.
  6. Schrier RW, Arroyo V, Bernardi M, Epstein M, Henriksen JH, Rodes J. Peripheral arterial vasodilation hypothesis: a proposal for the initiation of renal sodium and water retention in cirrhosis. Hepatology 1988;8(5):1151-7. https://doi.org/10.1002/hep.1840080532
  7. Planas R, Montoliu S, Balleste B, Rivera M, Miquel M, Masnou H, et al. Natural history of patients hospitalized for management of cirrhotic ascites. Clin Gastroenterol Hepatol 2006;4(11):1385-94. https://doi.org/10.1016/j.cgh.2006.08.007
  8. 대한간학회. 2017 대한간학회 간경변증 진료 가이드라인-복수 및 관련 합병증. 대한간학회 2017:11-27.
  9. Kim YS. Ascites, Hepatorenal Syndrome and Spontaneous Bacterial Peritonitis in Patients with Portal Hypertension. Korean J Gastroentero 2010;56(3):168-85.
  10. Bang JK. A study on syndromes of Oryeonsan. The journal of Korean medical classics 2007; 20(1):151-64.
  11. Ban HR, Jo SH, Back GM, Yang SJ, Jo HJ, Jeong JY. The clinical study of 15 menopausal disorder patients used Insamyang-Yeongtang. Journal of Korean obstetrics & gynecology 2006; 19(3):257-66.
  12. Jeon US. Principles and Practice of Diuretic Therapy. Korean J Med 2011;80(1):8-14.