Case of the Pulmonary Thromboembolism in a Patient with Lacunar Cerebral Infarction by the Integrated Therapy of Korean and Western Medicine

열공성 뇌경색 환자에게 발생한 폐색전증을 한양방 협진으로 치료한 1례

  • Yun Jong-Min (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University, Department of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Lee Min-Goo (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University, Department of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Lee Sun-Woo (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University, Department of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Kang Baek-Gyu (Department of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Lee Seung-Eon (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Kim Yong-Jeong (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Son Ji-Woo (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Lee In (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Moon Byung-Soon (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University, Department of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Park Sae-Wook (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University, Department of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University)
  • 윤종민 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 이민구 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 이선우 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 강백규 (원광대학교 한의학전문대학원 제3의학과) ;
  • 이승언 (원광대학교 한의과대학 내과학교실) ;
  • 김용정 (원광대학교 한의과대학 내과학교실) ;
  • 손지우 (원광대학교 한의과대학 내과학교실) ;
  • 이인 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 박세욱 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과)
  • Published : 2005.12.01

Abstract

There are few topic about a pulmonary thromboembolism(PTE) especially in Korean medical research. This case report is dealt with a rare situation that a PTE and a lacunar infarction are complicated in one patient. They have a similarity in that both are caused by the thrombosis. The former is the thrombosis in lung and the latter is the cerebral infarcion within the territory of a single perforating artery Recently the attack rate of PTE somewhat grow because of the development of medicine such as the increasing use of indwelling catheters, trauma or surgery of pelvis and lower extrimity, major surgery especially in senior, the use of estrogen containing compounds, cerebrovascular disease, obesity, etc. A 70 year-old lady was stroked by the cerebral infarction and has been getting rehabilitating therapy. She had the sudden onset of dyspnea, chest pain and those symptoms looked like a myocardial infarction. But she was diagnosed as PTE by ventilation perfusion lung scan. We cured her with the integrated therapy of Korean and Western medicine.

Keywords

References

  1. 박상면, 이상화, 이신형, 신철, 조재연, 심재정. 폐혈전색전증 의임상적 연구. 걸핵 및 호흡기질환. 50(1):106-116, 2001.
  2. 김영선, 이광희, 조성우. 폐동맥 색전증으로 확진된 환자들의 임상적 고찰. 결핵 및 호흡기 질환. 37(2):160-166, 1990
  3. 유 승, 김 훈, 박정수, 정성필, 김승환, 유인술. 열공성 뇌졸중 환자에서 열공성 증후군 분류의 의의 및 확산강조영상의 유용성. 대한응급의학회지. 14(4):360-365, 2003.
  4. E. Braunwald, A. Fauci, D. Kasper, S. Hauser, D. Longo, J. Jameson. Harrison' 내과학 15판, 서울: 아카데미아. p 2450-2451, 2003.
  5. 이성희, 백승호, 홍원기, 박춘식. Radioaerosol 흡입 폐주사와 관류 폐주사를 이용한 폐색전증으로 진단된 1례. 결핵 및 호 흡기질환. 34(1):80-83, 1987
  6. 이상화. 흉통환자의 감별진단. 가정의학회지 20(5):566-572, 1999.
  7. 장 준. 급성 폐색전증. 결핵 및 호흡기질환. 48(2):123-148, 2000.
  8. 안철민, 김세규, 김영환, 김우성, 신동호, 유지홍, 등 .호흡기학.1판. 서울: 대한결핵협회 및 호흡기학회 군자출판사. p 521-523, 2004
  9. 안효용, 김신철, 김명천, 고영관. 폐색전증 증례 비교를 통한 혈전 용해제의 조기 투여 제언 대한응급의학회지 11(2):255-261, 2000.
  10. Fisher, C.M. Lacunar strokes and infarcts: a review. Neurology. 32(8):871-876 1982.
  11. Toni, D., Del Duca, R., Fiorelli, M., Sacchetti, M.L., Bastianello, S., Giubilei, F., et al. Pure motor hemiparesis and sensorimotor stroke. Accuracy of very early clinical diagnosis of lacunar strokes. Stroke. 25(1):92-96, 1994.
  12. Julien Bogousslavsky, Louis caplan stroke syndroms Cambridge University press New York 366-371, 1995.
  13. John, B. Classic lacunar syndromes. In: Julien Bogousslavsky, Louis caplan. stroke syndroms. 1st. New York: Cambridge University press. pp 366-371, 1995.
  14. 강흥모. 폐색전증-병인론 및 위험인자. 제8차 대한결핵 및 호흡기 학회 Workshop. pp 1-8, 1997.
  15. 張仁圭. 心痛에 대한 文厭的 考察 황제의학. 3(4):16-19, 1978.
  16. 金海玉, 金炳卓. 上氣, 短氣, 少氣에 대한 文敵的 考察. 대전대 학교 한의학연구소 논문집. 7(1):765-773, 1998.
  17. 李東勳I 金聖勳. 金匱要略 · 胸痺心痛短氣脈證病治篇에 대한 硏究. 대전대학교 한의학연구소 논문집. 7(1):517-532, 1998
  18. 金定濟 診療要鑑 서울· 東洋醫學硏究院. pp 222-223, 1983.
  19. 許 浚 對譯 東醫寶鑑. 서울: 법인문화사. pp 161-162, 1999.