王立范治疗慢性肾衰竭验案一则
One Case of Professor WANG Lifan's Treatment of Chronic Renal Failure
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1.黑龙江省中医药科学院肾九科,哈尔滨 150036
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吴宸广, 刘娜, 王立范. 王立范治疗慢性肾衰竭验案一则[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36539423&Fpath=home&index=0
WU Chenguang, LIU Na, WANG Lifan. One Case of Professor WANG Lifan's Treatment of Chronic Renal Failure[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36539423&Fpath=home&index=0
吴宸广, 刘娜, 王立范. 王立范治疗慢性肾衰竭验案一则[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36539423&Fpath=home&index=0 DOI:
WU Chenguang, LIU Na, WANG Lifan. One Case of Professor WANG Lifan's Treatment of Chronic Renal Failure[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36539423&Fpath=home&index=0 DOI:
病史摘要,2,该患8个月前因无明显诱因出现倦怠乏力,查尿常规:蛋白2+;血细胞分析:血红蛋白86 g/L;生化系列:尿素氮15.15 mmol/L,肌酐739.1 μmol/L,二氧化碳结合力17.0 mmol/L,钙1.48 mmol/L,磷1.49 mmol/L,于当地医院诊断为“慢性肾衰竭”,建议患者血液透析治疗,患者拒绝。为求进一步治疗,就诊于黑龙江省中医药科学院肾九科。中医诊断 虚劳(脾肾两虚、湿浊瘀血)。西医诊断 慢性肾衰竭,慢性肾小球肾炎,高血压病,肾性贫血,代谢性酸中毒,矿物质代谢紊乱。干预措施 中医给予参芪地黄汤、解毒活血汤加减、甘露饮加减;西医给予降压,纠正肾性贫血,纠正酸中毒,降磷,补钙等治疗。疗效转归 好转。
Summary of case history, This patient started to suffer from tiredness and fatigue 8 months ago with no apparent cause. Routine urine analyses: protein 2+. Blood cell analysis: hemoglobin 86 g/L; Biochemical tests: Urea 15.15 mmol/L, Creatinine 739.1 umol/L, CO,2, combining power 17.0 mmol/L, Calcium 1.48 mmol/L and Phosphorus 1.49 mmol/L. The patient was diagnosed with "chronic renal failure" at the local hospital and was advised to undergo hemodialysis, which he refused. He now comes Renal Nine Branch, Heilongjiang Academy of Chinese Medicine Sciences for further treatment.,TCM diagnosis, Asthenia with Spleen and kidney deficiency, dampness and blood stasis.,Western medicine diagnosis, Chronic kidney failure, chronic glomerulonephritis, hypertension, renal anemia, metabolic acid poisoning, mineral metabolism disorder.,Therapeutic methods treatment measures, Administering oral treatment with Jiajian Shenqi Dihuang Tang, Jiedu Huoxue Tang and Ganluyin.,Western medical treatment measures, Lowering of blood pressure, correction of renal anemia, correction of acidosis, lowering of phosphorus, calcium supplementation and other treatments.,Clinical outcomes, improve.
慢性肾衰竭参芪地黄汤解毒活血汤甘露饮
chronic renal failureJiajian Shenqi Dihuang TangJiedu Huoxue TangGanluyin
王海燕.肾脏病学[M].北京:人民卫生出版社,1998:1385.
Zhang L X, Wang F.Prevalence of chronic kidney disease in China: Acoss-sectional survey [J].The Lancet,2012,379(9818):815-822.
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