[논문]개두술 후 발생한 안검부종에 대한 치험 1례

김서영; 최정우; 임태빈; 이혜진; 조승연; 박성욱; 박정미; 고창남

doi:10.22246/jikm.2021.42.5.939

[국내논문] 개두술 후 발생한 안검부종에 대한 치험 1례
A Case Study of Eyelid Edema Post Craniotomy 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.5, 2021년, pp.939 - 948

김서영 (경희대학교 대학원 한방순환신경내과학교실) , 최정우 (강동경희대학교한방병원 뇌신경센터 한방내과) , 임태빈 (경희대학교 대학원 한방순환신경내과학교실) , 이혜진 (경희대학교 대학원 한방순환신경내과학교실) , 조승연 (경희대학교 대학원 한방순환신경내과학교실) , 박성욱 (경희대학교 대학원 한방순환신경내과학교실) , 박정미 (경희대학교 대학원 한방순환신경내과학교실) , 고창남 (경희대학교 대학원 한방순환신경내과학교실)

Abstract ▼ AI-Helper

Objectives: This study considered the effectiveness of Korean medicine for the treatment of eyelid edema post craniotomy. Methods: The patient was diagnosed with Taeumin-one of the four constitution types in Korean medicine-and treated with herbal medicines: Cheongsimyeunja-tang, Chungpyesagan-tang, and Hwangryunhaedok-tang pharmacoacupuncture treatment. The severity of eyelid edema was assessed using Kara and Gokalan's scale, daily imaging of the patient's eyelids, and the ratio of the length of the left eye to that of the right. Results: Following treatment, the Kara and Gokalan score decreased from 3 to 0. The changes in the ratios were 29% and 50%, respectively. The visual field defect due to edema in the left eye was also repaired. Conclusion: This study suggests that Korean medical treatment could be an effective option for treating eyelid edema following craniotomy.

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표/그림 (8)

그림 Fig. 1. Brain CT 3D (X.09.10). The site of the craniotomy.
그림 Fig. 2. Brain CT. (A) : X.07.31. (B) : X.09.10. Diffused soft tissue swelling and fluid collection with mild enhancement at left periorbital and temporal area, along the op. site. (arrow)
표 Table 1. Prescription of Cheongsimyeunja-tang (淸心蓮子湯)
표 Table 2. Prescription of Chungpyesagan-tang (淸肺瀉肝湯)
표 Table 3. Kara & Gokalan's Scale12
그림 Fig. 3. Changes in Kara & Gokalan's rating scale.
그림 Fig. 4. Changes in the ratio of the length of the Lt. eye to the Rt. eye. A : Height, B : Width
그림 Fig. 5. Picture of the patient's eyelid.

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