姚乃中教授温肾健脾法治疗婴幼儿免疫性血小板减少症1例
增强出版YAO Naizhong's Method of Warming Kidney and Strengthening Spleen for Treating One Case of Infant Immune Thrombocytopenia
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1.上海中医药大学附属龙华医院(上海,200032)
2.上海交通大学医学院附属瑞金医院(上海,200025)
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沈伟, 项琼瑶, 徐旻, 等. 姚乃中教授温肾健脾法治疗婴幼儿免疫性血小板减少症1例[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861564&Fpath=home&index=0
SHEN Wei, XIANG Qiongyao, XU Min, et al. YAO Naizhong's Method of Warming Kidney and Strengthening Spleen for Treating One Case of Infant Immune Thrombocytopenia[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861564&Fpath=home&index=0
沈伟, 项琼瑶, 徐旻, 等. 姚乃中教授温肾健脾法治疗婴幼儿免疫性血小板减少症1例[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861564&Fpath=home&index=0 DOI:
SHEN Wei, XIANG Qiongyao, XU Min, et al. YAO Naizhong's Method of Warming Kidney and Strengthening Spleen for Treating One Case of Infant Immune Thrombocytopenia[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861564&Fpath=home&index=0 DOI:
病史摘要,2,董某某,男,8月余。2021年9月23日因“发现血小板减少6月余”而就诊。2021年3月予基础疫苗注射后出现发热,体温37.8 ℃,查血小板仅36×10,9,/L,考虑为病毒性感冒,血小板减少,予丙种球蛋白及抗感染治疗后,血小板很快恢复至190×10,9,/L,至3月25日无诱因下血小板降至42×10,9,/L,查骨穿示巨核细胞成熟障碍,明确诊断为原发性血小板减少症,故予糖皮质激素美卓乐口服,但血小板仍继续下降,最低仅4×10,9,/L,联合丙种球蛋白使用,血小板恢复到554×10,9,/L,但之后几乎每二三周血小板波动于4~264×10,9,/L之间,均需丙种球蛋白治疗后血小板恢复至安全范围,家长不堪其苦,转求中医治疗。四诊信息 神识清,全身无出血点,舌质淡红,苔薄,脉细中医诊断 紫癜(脾肾亏虚)西医诊断 免疫性血小板减少症疗效评定 完全反应(CR)转归:治愈
Summary of case history, Patient DONG, male, more than 8 months old. On September 23, 2021, he was hospitalized for "thrombocytopenia was found for more than 6 months". Fever occurred in March 2021, and platelets 36×10,9,/L, considered initially as thrombocytopenia caused by viral cold. After treatment, the platelets returned to normal for a time and then dropped to 42×10,9,/L, combined with bone marrow puncture report, the patient was definitely diagnosed as primary thrombocytopenia, and was given hormone therapy combined with gamma globulin. The platelet fluctuated between 4 and 264×10,9,/L, intravenous injection of gamma globulin is required every two to three weeks. Parents can not bear the hardship and turn to TCM treatment.,Four diagnostic information, clear consciousness, no bleeding point in the whole body, light red tongue, thin moss and fine pulse,TCM diagnosis, purpura (deficiency of spleen and kidney). According to the physiological characteristics of children's "frequent deficiency of spleen", Professor YAO Naizhong, a famous Chinese Medicine professor in Shanghai, put forward the method of strengthening spleen and nourishing stomach to treat infantile ITP on the basis of warming the kidney and filling the marrow. The effect is remarkable.,Western medicine diagnosis, primary thrombocytopenia,Efficacy evaluation, complete response (CR),Outcome, cure
温肾填髓健脾养胃婴幼儿血小板减少症姚乃中
warming the kidney and filling the marrowstrengthening spleen and nourishing stomachinfantthrombocytopeniaYao Naizhonghematopathy
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