One Case of Nonunion After Lower Extremity Surgery Treated by the Method of HuaFuZaiSheng
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1.Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China
2.Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
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LIU Zhenlei, DAI Rui, ZHANG Zhaohui. One Case of Nonunion After Lower Extremity Surgery Treated by the Method of HuaFuZaiSheng[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615969&Fpath=home&index=0
病史摘要,2,患者孙某某,75岁,由于“左下肢破溃坏疽”行“左下肢膝上截肢术”,术后伤口愈合不佳;行股动脉胭动脉人工血管搭桥术(股、腘人工血管),术后右腹股沟下方遗留1处窦道。中医诊断 疮疡,余邪留恋证西医诊断 手术后伤口愈合不良、截肢残端溃疡、下肢动脉硬化闭塞症。四诊信息 神清,精神可,面色少华,左下肢残端破溃伴疼痛,右股前区局部切开引流中,右足第2趾破溃变黑,纳差,眠差,舌质淡,苔腻,苔色黄,脉弦。干预措施 本案采用中西医结合疗法,中医内治法:益气养阴、托疮生肌、活血通络;中医外治法:化腐再生法为主;西医治疗:改善循环,营养神经,抗凝、抗板、降脂、护胃、纠正贫血为要。疗效转归 现患者伤口较前愈合情况明显,取得了较好的疗效,本报道旨在为治疗术后伤口愈合不良提供一些临床经验,供同仁学习交流。
Summary of medical history, patient sun, 75 years old, Due to the "amputation of the upper knee of the left lower limb"、"ulceration and gangrene of the left lower limb", the wound healing was poor after the operation; the "artificial blood vessel bypass of the femoral artery and the popliteal artery" (femoral and popliteal artificial blood vessels) was performed, and a sinus tract was left under the right groin after the operation.,TCM diagnosis ,sore (lingering syndrome of residual evil),Western medical diagnosis, poor wound healing after operation, amputation stump ulcer, lower limb arteriosclerosis occlusion.,Four diagnostic information, clear mind, healthy spirit, pale complexion, left lower limb stump broken and broken with pain, right anterior thigh area in partial incision and drainage, right foot second toe broken and black, poor appetite, poor sleep, light tongue, greasy fur, yellow fur, pulse string.,Intervention measures ,this case adopts the combination of traditional Chinese and Western medicine. The internal treatment of traditional Chinese medicine is: Supplementing Qi and nourishing Yin, supporting sores and generating muscles, activating blood circulation and unblocking collaterals; External treatment of traditional Chinese medicine: the method of eliminating corruption and regeneration is the main method; Western medicine treatment: improve circulation, nourish nerves, anticoagulant, anti plate, reduce fat, protect stomach and correct anemia.,Curative effect outcome ,the wound healing of the patient is more obvious than that of the previous one, and better curative effect has been achieved. The purpose of this report is to provide some clinical experience for the treatment of poor wound healing after operation, and to learn and exchange with each other.
慢性伤口愈合化腐再生法中西医结合
chronic wound healingDecomposition and regeneration methodIntegration of Chinese and Western Medicine
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