| 李乐天,毕庚年.中西医结合诊治四种急腹症1,301例临床分析[J].,1984,(7):399-401,386 |
| 中西医结合诊治四种急腹症1,301例临床分析 |
| Diagnos s and Treatment of Four Acute Abdominal Diseases with TCM-WM——Clinical Analysis of 1,301 Cases |
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| 中文关键词: 急腹症 非手术疗法 急性上消化道出血 中转手术 胆石症 溃疡病急性穿孔 粘连性肠梗阻 急症手术 治疗方法 胆系感染 |
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| 中文摘要: |
| 本文报道了四种急腹症的治疗方法及疗效,其中溃疡病急性穿孔332例,急性粘连性肠梗阻317例,胆石症胆系感染411例,急性上消化道出血241例。对降低中转手术率,提高正确诊断率,加强中医理论的研究等问题提出了讨论。 |
| 英文摘要: |
| From Jan.1973 to Dec.1982,1,301 cases of four acute abdominal diseases were admitted to our hospital and treated with TCM-WM.Among 332 cases of acute perforated peptic ulcer,303 were treated with non-operative procedure,with 288 patients(95%)cured,15 patients operated on finally, 27 cases were treated with emergency operation.The total operative rate of this group was 12.6% and total mortality 2.4%.Among 317 cases with intestinal obstruction,281 cases were treated with non-operative procedure with 249 patients(88.6%)cured and 32 patients(11.3%)operated on finally.Another 36 cases were treated with emergency operation.Total operative rate of this group was 21.4% and total mortality 1.2%. Among 411 cases with biliary lithiasis and infection,121 were chronic cases and treated with TCM or operation.The remission rate was 100%.There was no death.Among 290 acute cases 256 were treated with non-operative procedure and 34 with operative procedure.285 patients of this group were cured and 5(1.7%) died.222 of 241 cases with acute upper gastrointestinal hemorrhage were treated with non-operative procedure.Among them,211 cases(94.5%)with their acute bleeding controlled,2 patients died and 2 of the 9 patients operated on finally died too.Another 12 cases were treated with emergency operation,7 patients were cured and 5 died.The remaining 7 patients with most severe condition died in a short time after admission.Total mortality of this group was 7%.The authors conclude that the diagnostic level should be raised so as to avoid blind treatment and unnecessary transference which often cause death.The related TCM theories and formulas should be further explored.The conventional principle and method of operation should be improved according to the new medical theory and practice. |
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