常克运用中医药治疗儿童过敏性紫癜肾炎1例
增强出版Case Study of Allergic Purpura Nephritis Treated with Chinese Medicine by Prof. Ke Chang
扫 描 看 全 文
1.四川省中医院,成都 610032
扫 描 看 全 文
张静祎, 常克. 常克运用中医药治疗儿童过敏性紫癜肾炎1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615260&Fpath=home&index=0
ZHANG Jingyi, CHANG Ke. Case Study of Allergic Purpura Nephritis Treated with Chinese Medicine by Prof. Ke Chang[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615260&Fpath=home&index=0
张静祎, 常克. 常克运用中医药治疗儿童过敏性紫癜肾炎1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615260&Fpath=home&index=0 DOI:
ZHANG Jingyi, CHANG Ke. Case Study of Allergic Purpura Nephritis Treated with Chinese Medicine by Prof. Ke Chang[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615260&Fpath=home&index=0 DOI:
病史摘要,2,患者尚某某,男,7岁,于2022年3月10日因“发现过敏性紫癜肾炎3+月”至成都中医药大学附属医院特需门诊就诊。刻下症见:神清,精神尚可,面色偏黄,腹痛,双下肢可见散在新发皮疹,间断咳嗽咯痰,咳嗽夜间加重,喉间痰鸣,痰色白量多,质粘不易咯出,无气急、喘息,无咳末鸡啼样尾声,无犬吠样咳嗽及声嘶,无异常哭吵,纳眠一般,小便调,大便1-2次/日,黄色成型,无脓血及粘液,近期无明显体重下降。中医诊断 紫癜 风热夹瘀证西医诊断 过敏性紫癜肾炎干预措施 予中药处方口服治疗四次。疗效转归 2022年4月14日随访,尿液分析+尿沉渣定量未见异常,嘱患儿口服百令片巩固,密切观察患儿基本情况,加强营养,增强体质,调节情志。2022年5月9日电话随访,血常规+全血C反应蛋白、尿液分析+尿沉渣定量、肾功能未见异常,嘱患儿继续服用百令片补肺肾,益精气,日常生活中注意避风寒,饮食宜清淡有营养,禁食生冷及零食等,增强体质,调畅情志。
Summary of case history ,Patient Shang Moumou, male, 7 years old, came to the special needs clinic of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine on March 10, 2022 for "renal-type allergic purpura found for more than 3 months". The profile showed. The patient was clear and still in good spirits, with atrophy of both lower limbs, abdominal pain, and scattered new rashes on both lower limbs. Patient Shang, male, 7 years old, came to the special needs clinic of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine on March 10, 2022 for "renal-type allergic purpura found for more than 3 months". The patient's symptoms were Clear consciousness, fair spirit, atrophic complexion, abdominal pain, scattered new rash on both lower extremities, intermittent cough and sputum, aggravated cough at night, sputum in the throat, white sputum, sticky and not easily excreted. There was no shortness of breath, wheezing, no end-of-cough cockle-like coda, no barking cough and hoarseness, no abnormal crying, general sleep, urine regulation, 1-2 times/day, yellow-like, no pus or mucus, no significant weight loss recently.,TCM diagnosis, purpura-wind-heat with stasis evidence,Western medicine diagnosis ,Henoch-Schonlein purpura nephritis,Therapeutic methods ,Oral treatment with herbal prescriptions was given four times.,Clinical outcomes ,At the follow-up visit on April 14, 2022, urinalysis and urine sediment quantification did not show any abnormality, the child was advised to take Bailing tablets orally for consolidation, closely observe the basic condition of the child, strengthen nutrition, enhance physical fitness, and regulate mood. The child was advised to continue to take Bai Ling tablets to nourish the lung and kidney, and to benefit the essence.
过敏性紫癜肾炎血尿中药治疗中西医结合
allergic purpura nephritishematuriaChinese medicine treatmentcombination of Chinese and western medicine
kötterCHSunder, Zelger B, Chen KR, etal. Nomenclature of cutaneous vasculitis: Dermatologic addendum to the 2012 revised international chapel hill consensus conference nomenclature of vasculitides[J]. Arthritis Rheumatol,2018, 70(2):171-184
Heineke MH, Ballering AV, Jamin A, etal. New insights in the pathogenesis of immunoglobulin A vasculitis(Henoch-Schonlein purpura)[J]. Auto immun Rev,2017,16(12):1246-1253
严方利,童敏,张丰华,等.基于数据挖掘分析常克教授治疗过敏性紫癜的用药规律[J].亚太传统医药,2022,18(5):174-178.
紫癜的诊断依据、证候分类、疗效评定——中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J].辽宁中医药大学学报,2013,15(5):228.
朱春华,黄松明.紫癜性肾炎诊治循证指南(2016)解读[J].中华儿科杂志,2017,55(9):654-657.
PilleboutE,ThervetE,HillG,etal.Henoch-Schonlein purpura in adults: Out-come and prognostic factors[J].Journal of the American Society of Nephrology: JASN,2002,13(5):1271-1278.
刘俊朝,徐虹,沈茜,等.中西医联合治疗调节肾型过敏性紫癜肾炎患儿CD_(19)~+B淋巴细胞研究[J].中华中医药杂志,2021,36(4):2429-2432.
0
浏览量
9
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构