<b>A Case of Refractory Pleural Effusion after Mitral Valve Replacement Successfully Treated by Adding Goreisan </b>

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  • <b>僧帽弁置換術後の難治性胸水に対して五苓散追加が有効であった一症例</b>
  • 臨床報告 僧帽弁置換術後の難治性胸水に対して五苓散追加が有効であった一症例
  • リンショウ ホウコク ソウボウベン チカン ジュツゴ ノ ナンチセイ キョウスイ ニ タイシテ ゴレイサンツイカ ガ ユウコウ デ アッタ イチ ショウレイ
  • A Case of Refractory Pleural Effusion after Mitral Valve Replacement Successfully Treated by Adding Goreisan

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Abstract

We report a case of refractory pleural effusion after mitral valve replacement (MVR) successfully treated by adding goreisan. A 60-year-old man had right pleural effusion with exertional dyspnea in spite of taking two diuretics (furosemide 60 mg and spironolactone 25 mg a day) for 2 years after MVR. He underwent drainage twice and spironolactone was increased to 50 mg, but his pleural effusion volume still increased. Then in addition, he received goreisan 7.5 g a day, and the pleural effusion was decreased and stabilized. This suggests that goreisan is a candidate drug for additional treatment, when pleural effusion is uncontrolled because of heart failure, despite taking diuretics.

Journal

  • Kampo Medicine

    Kampo Medicine 63 (2), 103-108, 2012

    The Japan Society for Oriental Medicine

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