慢加亚急性肝衰竭之阴阳黄中医治疗思路变迁
Changes in the Thinking of TCM Treatment of Yin Yang Yellow in Chronic and Subacute Liver Failure
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1.福建医科大学孟超肝胆医院中西医结合肝病科,福建 福州 350025
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朱灯, 刘政芳, 李芹. 慢加亚急性肝衰竭之阴阳黄中医治疗思路变迁[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406277&Fpath=home&index=0
ZHU Deng, LIU Zhengfang, LI Qin. Changes in the Thinking of TCM Treatment of Yin Yang Yellow in Chronic and Subacute Liver Failure[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406277&Fpath=home&index=0
朱灯, 刘政芳, 李芹. 慢加亚急性肝衰竭之阴阳黄中医治疗思路变迁[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406277&Fpath=home&index=0 DOI:
ZHU Deng, LIU Zhengfang, LI Qin. Changes in the Thinking of TCM Treatment of Yin Yang Yellow in Chronic and Subacute Liver Failure[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406277&Fpath=home&index=0 DOI:
病史摘要,2,患者林某某,男,37岁;以“乏力、食少、尿黄10余天”为主诉于2022-5-31入院;10余天前出现乏力、食少、尿黄,当时未重视,就诊当地诊所,经治疗后,具体不详,其病情无改善,1天前在当地医院查肝功能明显异常,故转诊我院。中医诊断 黄疸,湿热蕴结。西医诊断 慢加亚急性肝功能衰竭。干预措施 入院后予腺苷蛋氨酸联合异甘草酸镁保肝,头孢曲松抗感染,加用恩替卡韦抗病毒等治疗;其凝血功能差,多次输血浆仍无改善,病情重,请多学科会诊后,建议人工肝及肝移植,患者因经济原因要求内科保守治疗;在西医治疗的基础上,加用中药辨证论治。疗效转归 胆红素进行性下降,凝血功能改善,症状好转,达到临床出院标准。
Summary of case history, Patient Lin Moumou, male, 37 years old; was admitted to the hospital on foot on May31,2022, with the main complaints of "fatigue, lack of food and yellow urine for more than 10 days"; fatigue, lack of food and yellow urine occurred more than 10 days ago, he did not pay attention to it at that time and went to see a doctor The local clinic, after treatment, the details are unknown, and his condition has not improved. He was checked in the local hospital one day ago with obvious abnormal liver function, so he was referred to our hospital.,TCM diagnosis, Jaundicedamp-heat accumulation.,Western medicine diagnosis, Chronic and subacute liverfailure.,Therapeutis methods, After admission, hepatoprotective treatment with adenosylmethionine combined with magnesium isoglycyrrhizinate, ceftriaxone for anti-infection, and entecavir for anti-viral treatment; his coagulation function is poor, and he has not improved after multiple plasma transfusions, artificial liver and liver transplantation are recommended, and patients require conservative medical treatment for economic reasons; on the basis of western medicine treatment, traditional Chinese medicine is used for syndrome differentiation.,Clinical outcomes, The bilirubin decreased progressively, the coagulation function improved, the symptom improved, and reached the clinical discharge standard.
阴阳黄慢加亚急性肝衰竭辨证论治
chronic and subacute liver failuresyndrome differentiation and
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