中医药综合疗法治疗输卵管积水所致不孕症验案分析
增强出版Analysis of Chinese Medicine Therapy on Infertility Caused by Hydrosalpinx
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1.中日友好医院中医妇科,北京 100029
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赵红, 许琳. 中医药综合疗法治疗输卵管积水所致不孕症验案分析[DB/OL].(2022-09-05)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29347840&Fpath=home&index=0
Hong ZHAO, Lin XU. Analysis of Chinese Medicine Therapy on Infertility Caused by Hydrosalpinx[DB/OL].(2022-09-05)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29347840&Fpath=home&index=0
赵红, 许琳. 中医药综合疗法治疗输卵管积水所致不孕症验案分析[DB/OL].(2022-09-05)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29347840&Fpath=home&index=0 DOI:
Hong ZHAO, Lin XU. Analysis of Chinese Medicine Therapy on Infertility Caused by Hydrosalpinx[DB/OL].(2022-09-05)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29347840&Fpath=home&index=0 DOI:
病史摘要,2,患者,女性,37岁,已婚。病案号:1417355。主因小腹疼痛20余天,以盆腔炎,输卵管积水于2014年8月6日收入院。四诊信息 患者20 d前无明显诱因出现下腹部疼痛,伴发热,恶心,腰痛,带下量多,色黄,外院诊断为“急性盆腔炎”,静脉抗生素及中成药治疗,腹痛有所缓解。2014年8月4日盆腔B超(中国人民解放军307医院):子宫小结节,双卵巢旁不均质低回声,考虑炎性包块。妇科检查,双侧附件增厚,左侧明显,有压痛。现下腹部胀痛,伴腰酸,纳差,大便干,夜尿1~2次/天,眠差,舌黯红,苔薄白,脉沉细。中医诊断 瘀湿痰互结,兼阳虚证。西医诊断 盆腔炎性疾病后遗症,输卵管积水。干预措施 采用温阳利水,化瘀除湿的治疗方法予中医药综合治疗(中药口服、中药保留灌肠、中药热敷、中药离子导入)。疗效转归 痊愈,足月剖宫产一健康女婴。
Summary of case history ,Patient, female , 37 years old , married. Medical record: 1417355. The main clinical manifestation were lower abdomen pain for more than 20 days. The clinical diagnosis was pelvic inflammatory disease and hydrosalpinx .,Symptoms and signs ,Without obvious inducement, the patient developed lower abdominal pain accompanied by fever, nausea, and lumbago. In another hospital , the patient was diagnosed as acute pelvic inflammation , which was relieved after intravenous antibiotic and Chinese patent medicine treatment. Auxiliary examination results: Pelvic ultrasound (2018.8.4,307 Hospital of Chinese People's Liberation Army):Bilateral adnexal area of heterogeneous low echo area (inflammatory mass? Hydrosalpinx?). Gynecological examination :Bilateral appendage showed thickening and tenderness, the left was evident. Current symptoms: Distension and pain in the lower abdomen, with soreness, poor appetite, dry stool, poor sleep,and nocturnal urine 1-2 times/day. The patient's tongue image was dark red, and the pulse was heavy and fine. ,TCM diagnosis ,Stasis, dampness and phlegm mutually knot, with Yang deficiency.,Western medicine diagnosis ,Pelvic inflammatory disease sequelae, Hydrosalpinx.,Therapeutic methods ,Comprehensive treatment of Tradition Chinese medicine (TCM) including oral administration, retention enema, hot compress, ion introduction of TCM.,Clinical outcomes ,Recovery, delivered a healthy baby girl.
输卵管积水中医药综合治疗
HydrosalpinxComprehensive treatment of traditional Chinese medicine
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