清肺利痰法为主治疗慢性肺原性心脏病急性发作期辨证论治探讨——240例病例分析

A Preliminary Study on the Acute Phase of Cor Pumonale with Main Phlegm-Resolving Method with Cold Properties and Determination of the Treatment According to Different Symptom Complexes—An Analysis of 240 Cases

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DOI：

中文关键词: 肺心病急性发作期慢性肺原性心脏病中医辨证论治代谢性碱中毒清肺弥漫性血管内凝血中西医结合呼吸性酸中毒脾肾阳虚治疗

英文关键词:

基金项目:

作者	单位
许建中	中医研究院西苑医院呼吸病研究室
张贻芳	中医研究院西苑医院呼吸病研究室
张元隆	中医研究院西苑医院呼吸病研究室
陈曼虹	中医研究院西苑医院呼吸病研究室
靖旭荔	中医研究院西苑医院呼吸病研究室
史庆敦	中医研究院西苑医院呼吸病研究室
沈帼男	中医研究院西苑医院呼吸病研究室

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中文摘要:

以中医清肺利痰法为主辨证论治肺心病急性发作期患者240例(505例次),其中轻症患者单用中药治疗,中、重症患者采用中西医结合方法取得较好疗效,总有效率按例次计86.73%。

英文摘要:

An investigation of TCM-WM treatment of the acute phase ofcor pulmonale in 240 clinically dignosed cases was carried out in 1973～1984. The chief characteristic of acute phase of cor pulmonale is that the fundamental aspect is infection and bronchial spasm,so the main key to appropriate therapy is to control the bronchial infection.We not only used mainly phlegm-resolving drugs with cold properties but also to give the decoction that the determination of treatment according to different condition.In principle,mild patients were treated with TCM.Moderate and severe patients were treated with combination of TCM and WM The results indicate that the application of the phlegm-resolving drugs with cold properties and determination of the treatment according to different symptom complexes are effective.After treatment 53.66% showed marked improvement and 33.07% showed improvement,the ineffective rate was 13.27%.

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