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黄自平.中西医结合治疗多发性细菌性肝脓肿13例[J].中国中西医结合杂志,1985,(9):534-536,514
中西医结合治疗多发性细菌性肝脓肿13例
Thirteen Cases of Multiple Pyogenic Hepatic Abscess Treated with TCM and WM Combined
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中文关键词:  细菌性肝脓肿  中西医结合治疗  多发性  中药治疗  白细胞总数  手术引流  肝区疼痛  超声波检查  病人  抗生素治疗
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黄自平 中国人民解放军武汉部队总医院一外科 
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中文摘要:
      本文报道我院12年来用中西医结合的方法治疗多发性细菌性肝脓肿13例,平均疗程35.2天,全部治愈。同国内外文献报道相比,本组的治愈率高,说明中西医结合治疗多发性细菌性肝脓肿是一种有效的方法。并讨论了中药治疗本病的机理和长处。
英文摘要:
      In this paper,13 cases of muhiple pyogenic hepatic abscess treated with TCM and WM combined are reported. Most of the cases of this series did not improve or even worsened after long-term administration of antibiotics or antibiotics plus surgical drainage,but when Chinese medicinal herbs were added in their regimen,they were cured. According to traditional Chinese medicine,the disease can be classified into 3 types:flaming up of toxic heat and stagnation of vital energy and blood;accumulation of toxic heat in the liver and deficiency of both vital energy and blood;and extreme stagnation of toxic heat and rotten tissues changing into carbuncle.Chai Hu Jie Du Tang (柴胡解毒汤,Bupleurum root detoxication decoction)was used as principal prescription,with necessary additions or reductions required by the different types of syndrome given above.Generally,the patients’ temperature began to fall and their conditions started to improve in about a week or so after treatment with the decoction or the decoction plus antibiotics.10-15 days later,their temperature became normal.A surgical drainage should be performed if the patient’s temperature did not drop and serious systemic toxicity persisted and no reduction of hepatic abscess was observed after a week’s treatment.After the operàtion,they should be treated continuously with the decoction or the decoction plus antibiotics till complete recovery.All the 13 cases were cured.The cure rate was high as compared with those reported home and abroad,which indicates that treating multiple pyogenic abscess with TCM and WM combined is an effective method.
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