| 李建业,余浩,许兴辉,陈安球,蒋筱强,韦仲春,金瑜珍,郭建平.中西医结合治疗急性重症胆管炎77例临床分析[J].,1986,(3):150-153,159,131 |
| 中西医结合治疗急性重症胆管炎77例临床分析 |
| Clinical Analysis of 77 Cases of Acute Cholangitis of Severe Type Treated with TCM-WM Combined |
| |
| DOI： |
| 中文关键词: 中西医结合治疗 肝胆管结石 急性重症胆管炎 择期手术 生脉散 经皮肝穿刺 溶石治疗 胆道残余结石 中毒性休克 色素性结石 |
| 英文关键词: |
| 基金项目: |
|
| Hits: 1356 |
| Download times: 1060 |
| 中文摘要: |
| 本文总结中西医结合治疗 ACST77例,通过辨病与辨证结合,中医学与现代医学技术检查和动物实验研究相结合,在对胆道排石汤和生脉散的药理效应以及术中取出的胆结石进行了分析等研究的基础上,改良了中药处方和中药剂型,注意扶正养阴,调理脾胃,总攻排石,合理应用中药针剂及其他药物防治 ACST 胆休克,需手术引流的采用经皮肝穿刺胆管抽脓或行经皮肝穿刺胆囊引流及 PTCD。严密观察,充分注意中转手术指征,避免急诊手术,力争择期手术,术后进行溶石治疗等非手术治疗,结果提高了治疗效果,降低了病死率。充分体现出中西医结合治疗 ACST 的优越性。 |
| 英文摘要: |
| In this study out of 77 cases el acute cholangitis of severe type(ACST).there are 55 cases complicated With poisonous shock(68.34%),9 cases of death due to severe poisonous shock with multiple organ failure,the mortality rate being 11.60,lower than what was reported in the past.The betterment of treatment resulted from the following measures:reform in the prescription and formation of the Chinese materia medica,supporting the healthy energy as well as nourishing-Yin,regulating the function between spleen and stomach,and increasing the spleen movement so as to strengthen the immunological function.The removal of stones by general mobilized method,the application of Sheng Mai San(生脉散)and the Chinese medicinal composition of Danshen injection(丹参) intravenously,and Si Ni decoctions(四逆汤,Cold Limbs Decoction)intramuscularly.If the patient requires operation for drainage,the septic material is drawn by percutaneous puncturc on the hepato-biliary duct,while bile is drained through the gallbladder by percutaneous puncture on the hepato-gallbladder or by PTCD.If conditions of the illness arc of critical status such as thc discovery of biliary mud sand calculus in the blood from peripheral circulation and so on,operation should be done immediately for the elimination of the obstructed calculus and for drainage.We should use the method of dissolving the stone to manage the postoperated residuary stone etc.These manifested thoroughly that the traditional-western combinational treatment of ACST had full excellence,it increased the rate of recovery and decreased the rate of mortality. |
| View Full Text View/Add Comment Download reader |
|
|
|
