赵文霞治疗原发性肝癌案例一则
A Case of Primary Liver Cancer Treated by Zhao Wenxia
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1.河南中医药大学第一附属医院脾胃肝胆病科,郑州 450000
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张丽慧, 崔健娇, 赵文霞. 赵文霞治疗原发性肝癌案例一则[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35600984&Fpath=home&index=0
ZHANG Lihui, CUI Jianjiao, ZHAO Wenxia. A Case of Primary Liver Cancer Treated by Zhao Wenxia[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35600984&Fpath=home&index=0
张丽慧, 崔健娇, 赵文霞. 赵文霞治疗原发性肝癌案例一则[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35600984&Fpath=home&index=0 DOI:
ZHANG Lihui, CUI Jianjiao, ZHAO Wenxia. A Case of Primary Liver Cancer Treated by Zhao Wenxia[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35600984&Fpath=home&index=0 DOI:
病史摘要,2,患者半年前劳累后出现右胁不适,乏力,于当地医院行双源CT检查诊断为原发性肝癌,行肝动脉化疗栓塞术治疗。近1周因情绪不畅出现右胁不适加重,遂至赵文霞教授门诊就诊,双源CT平扫+增强检查提示肝癌。既往乙肝病史20年,抗乙肝病毒治疗6年,就诊时服用拉米夫定联合阿德福韦酯抗病毒治疗。中医诊断 癌病(肝癌) 肝郁脾虚证。西医诊断 原发性肝癌 肝动脉化疗栓塞术后复发。干预措施 西医予以肝动脉化疗栓塞术及对症支持治疗,中医治疗以“疏肝健脾,益气补肾”为治则,给予逍遥散合六君子汤加减。二诊加蜂房增强解毒之效。三诊加延胡索、川楝子以疏肝理气,加僵蚕以化痰散结,加土鳖虫、炮山甲以活血消癥。治疗期间患者肝癌曾6次复发,前后共行4次肝动脉造影+肝动脉化疗栓塞术,2次射频消融术。疗效转归 复诊时,患者生活自理,劳累后右胁不适、乏力,复查双源CT未见新发及转移灶。
Summary of case history, Six months ago, the patient developed right hypochondriac discomfort and fatigue after fatigue. Dual-source CT examination was performed in a local hospital and the patient was diagnosed as primary liver cancer, which was treated by transcatheter arterial chemoembolization. In the past week, he developed aggravation of right hypochnic discomfort due to bad mood. He went to Professor Zhao Wenxia's outpatient clinic. Dual-source CT plain scan + enhanced examination suggested that he had liver cancer. The patient had a history of hepatitis B for 20 years. He had been on anti-hepatitis B therapy for 6 years and was taking antiviral therapy with lamivudine and adefovir dipivoxil at presentation.,TCM diagnosis, Cancer (liver cancer) Liver stagnation and spleen deficiency syndrome,Western medicine diagnosis Primary liver cancer, Recurrence after transcatheter arterial chemoembolization,Therapeutic methods, Western medicine treatment by transcatheter arterial interventional chemoembolization and symptomatic support treatment. Traditional Chinese medicine adopts the treatment principle of "nourishing the liver and spleen, nourishing Qi and tonifying the kidney", and gives Xiaoyao powder and Liujunzi decoction for treatment. In the second diagnosis, Chinese medicine was added to the honeycomb to enhance the effect of detoxification. In the three diagnosis, yanhusuo and chuanlianzi were added to enhance the function of soothing liver and regulating Qi, jiangchan was added to enhance the function of dispersing phlegm and dispersing nozzles, and tubiechong and paoshanjia were added to enhance the function of promoting blood circulation and eliminating disease. During the treatment period, the patient's liver cancer recurred 6 times. Four times of hepatic arteriography + transcatheter arterial chemoembolization and two times of radiofrequency ablation were performed before and after the treatment.,Clinical outcomes, At return visit, the patient can take care of himself, but after fatigue will appear right hypochondria discomfort, fatigue. His re-examination of dual-source CT showed no new lesions or metastases.
原发性肝癌经验赵文霞
primary liver cancerexperienceZhao Wenxia
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