李秀惠治疗老年原发性肝癌验案一则
增强出版Elderly Patients with Primary Liver Cancer Treated by LI Xiuhui: A Case Report
扫 描 看 全 文
1.首都医科大学附属北京佑安医院国家药物临床试验机构,北京 100069
2.首都医科大学附属北京佑安医院中西医结合中心,北京 100069
扫 描 看 全 文
谢玉兰, 李秀惠. 李秀惠治疗老年原发性肝癌验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943956&Fpath=home&index=0
XIE Yulan, LI Xiuhui. Elderly Patients with Primary Liver Cancer Treated by LI Xiuhui: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943956&Fpath=home&index=0
谢玉兰, 李秀惠. 李秀惠治疗老年原发性肝癌验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943956&Fpath=home&index=0 DOI:
XIE Yulan, LI Xiuhui. Elderly Patients with Primary Liver Cancer Treated by LI Xiuhui: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943956&Fpath=home&index=0 DOI:
病史摘要,2,患者郭某,男性,77岁。2019年6月24日因“右上腹不适3个月”就诊。3个月前因右上腹不适在外院检查发现肝占位、乙肝标记物阳性,为寻系统诊治来我院就诊。患者乙肝标记物阳性,甲胎蛋白升高,腹部CT有肝癌典型特征,本人不接受侵入性检查及治疗,寻求中医药治疗。四诊信息:精神稍差,自感乏力,右上腹部胀满不适,时有隐痛,伴有痰多,喑哑,纳食一般,夜眠欠佳,大小便正常。舌质淡红、苔白,脉沉细。中医诊断 肝积(肝肾不足,瘀毒内结证)。西医诊断 原发性肝癌。干预措施 中医以补益肝肾,祛瘀解毒为法,予槲芪加减方治疗;西医予恩替卡韦抗病毒治疗。疗效转归 患者生活质量满意,未出现肝癌终末期大量腹水、黄疸等严重并发症。
Summary of case history ,The patient Guo, male, 77 years old. On June 24, 2019, he went to see a doctor because of "discomfort in the right upper abdomen in March". 3 months ago, due to discomfort in the right upper quadrant, we found liver space occupying and positive markers of hepatitis B in the external hospital. He came to our hospital for systematic diagnosis and treatment. The patient has positive hepatitis B markers, elevated alpha fetoprotein, and abdominal CT has typical characteristics of liver cancer. He do not accept invasive examination and treatment, and seek TCM treatment. Symptoms and signs: slightly poor spirit, self-perceived fatigue, distension and discomfort in the right upper abdomen, sometimes with dull pain, accompanied by phlegm, dumb, general appetite, poor sleep at night, normal urine and stool. The tongue is light red, the fur is white, and the pulse is fine.,TCM diagnosis ,Liver accumulation (Deficiency of liver and kidney Blood stasis and internal stagnation),Western medicine diagnosis ,Primary liver cancer.,Therapeutic methods ,Traditional Chinese medicine takes tonifying the liver and kidney, removing blood stasis and detoxification as the method, and treats with modified Huqi formula; Western medicine gave antiviral treatment with entecavir.,Clinical outcomes ,The quality of life of the patients was satisfactory, and there were no serious complications such as massive ascites and jaundice in the end stage of liver cancer.
原发性肝癌老年肝癌医案李秀惠
Primary liver cancerLiver cancer in old ageMedical casesLi Xiuhui
李友炳,江家骥.原发性肝癌系统治疗新进展[J].肝脏, 2021,26(4):349-352.
黄晓.老年人原发性肝癌综合治疗的研究进展[J].航空航天医学杂志, 2019,30(1):74-75.
姜晓晨,张传龙,强睿,等.全国名中医朴炳奎诊治原发性肝癌临床经验拾萃[J].北京中药,2021,40(9):926-929.
吕树垚,王立森.原发性肝癌的中医诊疗[J].世界最新医学信息文摘, 2019,19(16):225-226.
钱英.槲芪方治疗原发性肝癌的临证经验[J].中西医结合肝病杂志,2019,29(2):106-108.
宋峰燕,薛运华,孔莉军,等.老年中晚期原发性肝癌患者生活质量及其对生存期的影响[J].现代肿瘤医学,2020,28(17):3015-3020.
0
浏览量
23
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构