分期辨证中西协同救治急性乙型肝炎相关性亚急性肝衰竭案例
A Case of Acute Hepatitis B-related Subacute Liver Failure Treated by TCM Staging and Dialectical Synergy
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1.佛山市中医院肝病科,佛山 528000
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蒋开平, 莫小艾. 分期辨证中西协同救治急性乙型肝炎相关性亚急性肝衰竭案例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602523&Fpath=home&index=0
JIANG Kaiping, MO Xiaoai. A Case of Acute Hepatitis B-related Subacute Liver Failure Treated by TCM Staging and Dialectical Synergy[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602523&Fpath=home&index=0
蒋开平, 莫小艾. 分期辨证中西协同救治急性乙型肝炎相关性亚急性肝衰竭案例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602523&Fpath=home&index=0 DOI:
JIANG Kaiping, MO Xiaoai. A Case of Acute Hepatitis B-related Subacute Liver Failure Treated by TCM Staging and Dialectical Synergy[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602523&Fpath=home&index=0 DOI:
病史摘要,2,患者因“身目黄染、尿黄伴右上腹部胀痛、乏力6天”入院。自诉精神倦,乏力,面色黄染,身黄,目黄,尿黄,右上腹部胀痛,恶心欲呕,纳差,无恶寒及发热,睡眠差,大便3日未解。既往体健,否认慢性肝病史,否认药物过敏史,否认长期大量饮酒史,否认疫区旅居史及疫水接触史,否认冶游史。适龄结婚,配偶及子女体健。入院查体神志清,对答切题,定时定向力正常,计算能力正常,皮肤、巩膜重度黄染,无肝掌、蜘蛛痣,腹平软,未见腹壁静脉曲张,无压痛,无反跳痛,肝右肋下、剑突下未及,肠鸣音正常。双下肢无水肿。中医诊断 急黄(湿热蕴结)西医诊断 亚急性肝衰竭早期;急性乙型病毒性肝炎干预措施 中医采用分期辨证,口服中药结合中医外治法,西医予保肝抗炎、降酶退黄、预防感染、补充白蛋白及输注新鲜血浆等对症支持治疗为主。疗效转归 痊愈。
Summary of case history ,The patient was admitted to the hospital because of "yellow eyes, yellow urine, distending pain in the right upper abdomen, and fatigue for 6 days". Self-reported mental fatigue, fatigue, yellow complexion, yellow body, yellow eyes, yellow urine, right upper abdominal pain, nausea and vomiting, poor appetite, no chills and fever, poor sleep, and unresolved stool for 3 days. He was healthy in the past, denied the history of chronic liver disease, denied the history of drug allergy, denied the history of long-term heavy drinking, denied the history of living in the epidemic area and contact with the epidemic water, and denied the history of travel. Married at the appropriate age, with healthy spouse and children. Physical examination on admission: Consciousness, correct answers, normal timing and orientation, normal calculation ability, severe yellowing of skin and sclera, no liver palms, spider naevi, abdominal tenderness, no abdominal varicose veins, no tenderness, no rebound tenderness, The liver right subcostal, subxiphoid is not reached, bowel sounds are normal. There was no edema in the lower extremities.,TCM diagnosis ,Acute Yellowing (damp heat accumulation).,Western medicine diagnosis S,ubacute Liver Failure early; acute viral hepatitis B.,Therapeutic methods ,Traditional Chinese medicine adopts staging and syndrome differentiation, oral traditional Chinese medicine combined with external treatment of traditional Chinese medicine, and western medicine mainly provides symptomatic and supportive treatment such as protecting liver and anti-inflammatory, reducing enzymes and yellowing, preventing infection, supplementing albumin and transfusion of fresh plasma.,Clinical outcomes ,Cure.
急性乙型肝炎亚急性肝衰竭中医分期辨证中药灌肠【适合阅读专业】 感染病急重症
Acute hepatitis BLiver failureTCM staging and syndrome differentiationTCM enema【Suitable majors】 Infectious diseaseAcute and severe disease
郭其裕,陈建能,郑瑞丹.中医药治疗黄疸型肝炎的临床研究现状[J].临床肝胆病杂志,2017,33(5):833-837.
蒋开平.«金匮要略»黄疸病论治临床解析[J].中华中医药学刊,2013,31(2):385-387.
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