• 제목/요약/키워드: Alcoholic patient

검색결과 63건 처리시간 0.027초

당뇨병에 병발한 알코올성 간질환의 치험례 (A Alcoholic Liver Disease Patient Case with Diabetes Mellitus)

  • 김동우;전찬용;한양희;박종형;여은경
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.649-653
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    • 2000
  • We had applied Saenggangunbitang, Gamijihwangtang, and Saenggangunbitang-Gamijihwangtang on a alcoholic liver disease patient with diabetes mellitus, Saenggangunbitang has been used to treat alcoholic liver disease and had known to have beneficial effects. Gamijihwangtang has been used to treat Yin deficiency syndrome in Orient Medicine. We observed clinical symptom, liver function, nutritional state and blood sugar. After first administration, Clinical symptom and blood sugar were improved by Gamijihwangtang medication. Alter second administration, Clinical symptom, blood sugar and liver function were improved by Saenggangunbitang-Gamijihwangtang medication. After third administration, clinical symptom and liver function were improved by Saenggangunbitang medication. It is possibly suggested that Saenggangunbitang-Gamijihwangtang medication has a therapeutic effect on alcoholic liver disease with diabetes mellitus.

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Bilateral optic neuropathy related to severe anemia in a patient with alcoholic cirrhosis: A case report and review of the literature

  • Humbertjean-Selton, Lisa;Selton, Jerome;Riou-Comte, Nolwenn;Lacour, Jean-Christophe;Mione, Gioia;Richard, Sebastien
    • 대한간학회지
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    • 제24권4호
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    • pp.417-423
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    • 2018
  • Anemia appears frequently in patients with alcoholic liver disease (ALD) but has never been linked to bilateral nonarteritic anterior ischemic optic neuropathy (NAION). A 65-year-old woman with a medical history of alcoholic cirrhosis was admitted for bilateral NAION. On admission, she was found to have a low arterial pressure and severe normocytic anemia (48 g/L). The anemia was related to chronic bleeding due to antral gastritis along with other factors associated with ALD. The applied treatment consisted of urgent transfusion followed by high doses of proton-pump inhibitors, iron and vitamin supplementation, and support in lifestyle measures. Her hemoglobin levels remained stable after 2 years but the patient still suffered from visual loss. This case highlights the link between anemia and bilateral NAION in ALD patients. The optic nerve head is prone to infarction in this context due to the vascularization characteristics of ALD. Hemoglobin levels should be monitored in ALD patients to avoid the severe complication of NAION.

알코올성 간질환을 동반한 뇌내출혈환자 치험 1례 (A case of Intracerebral Hemorhage with Alcoholic liver disease)

  • 이태훈;조현석;이해연;박정한;이유경;김성균
    • 대한약침학회지
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    • 제6권3호
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    • pp.81-86
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    • 2003
  • Recently there has been an increase in annual per capita consumption of alcohol beverage and the incidence of Alcoholic liver disease is steadily and significantly increasing. Alcoholic liver disease includes alcoholic fatty liver, alcoholic hepatitis, alcoholic cirrhosis and it may lead to systemic influence, in a case of CVA. This report is about one case's treatment for ICH with alcoholic liver disease. In this case, we administrated Taeumjowetang and did acupuncture treatment to a patient suffering from ICH with alcoholic liver disease and its withdrawal symptoms. After administration of Taeumjowetang medication, clinical symptoms and liver function were prominently improved. This report showed that Taeumjowetang might be useful for alcoholic liver disease.

초음파 관찰을 통한 비알콜성 지방간 환자 치험 1례 (A Case Study on A Patient with Non-Alcoholic Fatty Liver Disease (NAFLD) by Using Ultrasound)

  • 백태현
    • 대한한의학회지
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    • 제37권1호
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    • pp.151-157
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    • 2016
  • Objectives: The purpose of this study is to report the clinical effect of Shihosogan-tang extract on NAFLD through ultrasound. Methods: The patient was treated with Shihosogan-tang extract. We observed the changes in symptoms and ultrasound imaging on a patient with NAFLD. Results: After treatment, the symptoms of the patient with NAFLD were decreased and ultrasound imaging were improved from moderate to mild grade. Conclusion: The patient of NAFLD was improved in symptoms and ultrasound imaging.

비알코올지방간질환을 동반한 비만 환자에서 Glucagon-Like Peptide-1 수용체작용제를 이용한 효과적인 치료 증례 (Case of Effective Treatment using Glucagon-Like Peptide-1 Receptor Agonist in Patient with Obesity and Non-Alcoholic Fatty Liver Disease)

  • 이태식
    • 비만대사연구학술지
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    • 제2권2호
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    • pp.71-75
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    • 2023
  • Obesity is closely related to chronic diseases and cancer. The present case report aims to discuss the anti-obesity treatment strategy and the evaluation of the clinical progress in a patient with obesity and concurrent fatty liver disease. Following five months of treatment with liraglutide and rosuvastatin, the patient had a weight reduction of 3 kg (4.7%), a decrease in fasting blood sugar by 42 mg/dl (26.6%), a decrease in low-density lipoprotein cholesterol by 82 mg/dl (60.2%), and decrease in alanine transaminase. This case report documented the treatment of a patient with common chronic diseases encountered in the outpatient setting. Based on the therapeutic effects documented in clinical and laboratory indices, the anti-obesity treatment plan significantly aided in managing chronic diseases.

피로와 현훈을 동반한 알콜성 간질환 환자의 한방치험 1례 (A Case of Korean Medicine for Alcoholic Liver Disease Patients with Fatigue and Dizziness)

  • 정영은;조연수;백정한;김종대
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.224-229
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    • 2018
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine, especially Palmijihwang-hwan and Oryung-san, on an alcoholic liver disease patient with fatigue and dizziness. Methods: A patient was treated with Korean medicine, including herbal decoction, acupuncture, moxibustion, and cupping. Then, the patient was asked about his condition every day and underwent liver function tests three times. Results: After 13 days of treatment, fatigue decreased by 80%, and dizziness disappeared on the second day of hospitalization. It also recovered from indigestion and abdominal distension. Conclusions: According to this study, Korean medicine, including Palmijihwang-hwan and Oryung-san, is an effective treatment for symptoms associated with alcoholic liver disease.

생화학적 지표로 본 알코올성 간질환 환자의 단백질 및 지질 영양상태 (Biochemical Evaluation of Nutritional Status of Protein and Lipid in Patinets with Alcoholic Liver Disease)

  • 구보경;정준모;이혜성
    • 한국식품영양과학회지
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    • 제27권6호
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    • pp.1236-1243
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    • 1998
  • The purpose of this study is to evaluate the nutritional status of protein and lipids in the patients with alcoholic liver disease, to find an effective way of dietary management for patients with alcoholic liver disease and to obtain the materials for nutritional education for alcoholics. The subjects consist of 80 patients with alcoholic liver cirrhosis(ALC) and 12 patients with alcoholic fatty liver(AFL). The control group included 57 alcoholics without liver disease(A), 32 patients with viral liver cir rhosis(VLC) and 194 normal(NL). Biochemical evaluation of nutritional status was performed by ana lyzing the profiles of protein and lipids in blood samples. The results are summarized as follows: 1) The frequency of subjects below the normal range of serum total protein was 26.3% in ALC, 16.7% in AFL and 3.5% in A. Serum albumin was lower in 41.3% of ALC. 2) The alcoholics without liver disease showed significantly higher level of serum triglycerides, total cholesterol and LDL cholesterol than the other groups. The alcoholic subjects had lower HDL cholesterol than normal subjects. Overall, the protein and lipids status of the alcoholic subjects in this study was evaluated to be very poor on the basis of biochemical assessments. The results suggest that alcohol abuse and poor dietary intake could cause malnutrition. An extensive nutritional education should be emphasized for the alcohol consuming population. High quality of protein and other dietary intakes from early stage of the disease may be effective in nutritional therapy for the patient with alcoholic liver disease.

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알코올성 간 질환 환자의 Carbohydrate Deficient Transferrin의 임상적 유용성 연구 (A Study of Clinical Usefulness of Carbohydrate Deficient Transferrin in Patients with Alcoholic Liver Disease)

  • 손계성
    • 대한임상검사과학회지
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    • 제37권1호
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    • pp.8-15
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    • 2005
  • It is well known that intaking alcohol chronically and heavily causes many formsof physical systemic distress including serious chronic alcoholic liver disease such as alcoholic hepatitis, fatty liver, liver cirrhosis and hepatoma. Carbohydrate-deficient transferrin (CDT) is known as a specific marker in detecting and monitoring alcohol associated disease. Weanalyzed various alcohol-associated parameters to evaluate the clinical usefulness of CDT. The first patient group consisted of fifty patients, who had been diagnosed with alcoholic liver disease from January 2003 to June 2004 at Chungnam National University Hospital. The second group consisted of 12 patients with non-alcoholic liver disease. The third group consisted of 19 teetotalerswho had visited the hospital for the purpose of routine healthcare checks. Various hepatic parameters such as CDT, $\small{\Gamma}$-GT (gamma-glutamyl transferase), AST (aspartate aminotransferase) and ALT (alanine aminotransferase) were compared in the three groups. CDT and AST increased in direct proportion to the amount and duration of alcohol consumption with high significance, but $\small{\Gamma}$-GT and ALT showed arbitrary patterns with no statistical significance. The sensitivities of CDT, $\small{\Gamma}$-GT, AST and ALT were 74 %, 96 %, 68 % and 58 %, respectively and the specificities were 95 %, 74 %, 68 % and 79 % in order respectively. The correlation study of CDT with $\small{\Gamma}$-GT, AST and ALT showed a very low value of correlation coefficients, implying that CDT could be taken as an independent parameter in evaluating alcohol liver disease compared to $\small{\Gamma}$-GT, AST and ALT. This present study suggested that CDT coud be one of the most useful parameters in reflecting the amount and duration of alcohol consumption as well as being another independent parameter in assessing and following up patients with alcoholic liver disease. Moreover we recommend it is the best method of measuring both CDT and $\small{\Gamma}$-GT in patients with alcoholic liver disease.

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인진오령산(茵蔯五苓散)을 투여한 알코올성 간경변 환자 치험 1례 (A Case of Alcoholic Liver Cirrhosis Treated with Injinoryeong-san)

  • 강기완;이종훈
    • 대한한방내과학회지
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    • 제37권1호
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    • pp.135-142
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    • 2016
  • Objectives: To introduce the effect of traditional Korean medicine (TKM) treatment with Injinoryeong-san on alcoholic liver cirrhosis (ALC).Methods: A 37-year-old man with a history of alcohol ingestion for the past five years was diagnosed with ALC based upon his clinical symptoms, sonogram results, and laboratory studies. The patient received TKM treatment with acupuncture, moxibustion, and Injinoryeong-san in parallel to Western medicine for two weeks. The clinical assessment was monitored based upon changes in the Child-Pugh score and ultrasonography, body weight, and abdominal circumference for measuring the amount of ascites.Results: The patient’s clinical symptoms improved with decreases in abdominal circumference and body weight. Ultrasound revealed a regression of the amount of ascites in the abdominal cavity. Laboratory results also improved significantly, and the Child-Pugh score increased from class B to A.Conclusions: This case report showed a significant improvement of ALC with relatively simple treatment for only a short period and therefore supported the potential of TKM treatment in ALC.

청간플러스(가미청간탕(加味淸肝湯))로 호전된 뇌경색을 동반한 C형간염 환자 1례 및 알코올성 간염 환자 1례 (Two Cases report of Chunggan plus(Gamichunggan-tang) for Hepatitic C patient and Alcoholic Hepatitis patient with Cerebral-infarction)

  • 최성환;장문원;박소애;임승민;안정조;조현경;유호룡;설인찬;김윤식
    • 대한한의학방제학회지
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    • 제16권2호
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    • pp.243-254
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    • 2008
  • This study is a clinical report for hepatitic C patient and alcoholic hepatitis patient who were improved by treatment of a herbal viscous extracts(Chunggan plus). We checked up Aspartate-aminotransferase(AST), Alamine-aminotransferase(ALT) and ${\gamma}$-Glutamyl transpeptidase (${\gamma}$-GTP) and compared the level of AST, ALT, ${\gamma}$-GTP after treatment. After medication the level of AST, ALT, ${\gamma}$-GTP was significantly normalized. So we suggested that herbal viscous extracts(Chunggan plus) has effects on hepatitis.

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