中西医结合治疗腹膜透析患者反复发热验案1例
A Case of Recurrent Fever in a Peritoneal Dialysis Patient Treated by Classical Prescription Combined with Western Medicine
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1.广州中医药大学第二附属医院,广州510120
2.广东省中医院肾内科,广州 510120
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陈国伟, 许苑, 卢富华. 中西医结合治疗腹膜透析患者反复发热验案1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053368&Fpath=home&index=0
CHEN Guowei, XU Yuan, LU Fuhua. A Case of Recurrent Fever in a Peritoneal Dialysis Patient Treated by Classical Prescription Combined with Western Medicine[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053368&Fpath=home&index=0
陈国伟, 许苑, 卢富华. 中西医结合治疗腹膜透析患者反复发热验案1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053368&Fpath=home&index=0 DOI:
CHEN Guowei, XU Yuan, LU Fuhua. A Case of Recurrent Fever in a Peritoneal Dialysis Patient Treated by Classical Prescription Combined with Western Medicine[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053368&Fpath=home&index=0 DOI:
病史摘要,2,患者,女,49岁。主因“维持腹膜透析半年余,反复腹痛5天,发热3天”于2019年8月23日以腹膜炎收入我科。患者慢性肾脏病5期病史,规律腹膜透析治疗,入院后予多种药物抗感染及拔除腹透管等西医治疗,发热仍反复,结合中医六经辨证,抓住由阳证转阴证之病机,患者热退,顺利出院。中医诊断 发热,中医辨证:太阳少阳阳明太阴合病西医诊断 慢性肾脏病5期;腹膜透析;腹膜炎;2型糖尿病性肾病;5.2型糖尿病伴有多个并发症;肾性贫血;高血压2级(很高危组)干预措施 西医主要予维持性透析、抗感染及纠正慢性肾衰并发症等治疗,中医采用六经辨证,把握由阳证转阴证之病机,阻断六经传变。疗效转归 患者热退,纳眠改善,大便成形,顺利出院。
Summary of case history, Patient, female, 49 years old. She was admitted to our department on August 23, 2019 with "peritonitis" due to "maintenance of peritoneal dialysis for more than six months, recurrent abdominal pain for 5 days and fever for 3 days". The patient had a history of chronic kidney disease in stage 5 and was treated with regular peritoneal dialysis. After admission, she was treated with western medicine such as anti-infection and removal of the peritoneal dialysis tube, but the fever still recurred. With the help of Six-meridian Syndrome Differentiation and staged treatment of TCM to capture the pathogenic mechanism of Yang evidence to Yin evidence, the patient was discharged from the hospital without further fever.,TCM diagnosis, fever, TCM medical evidence: Tai Yang-Shao Yang-Yang Ming-Tai Yin combination.,Western medicine diagnosis, chronic kidney disease stage 5; peritoneal dialysis; peritonitis; type 2 diabetic nephropathy; type 2 diabetes mellitus with multiple complications; renal anemia; hypertension grade 2, very high risk group.,Therapeutic methods, Western medicine mainly treated with maintenance dialysis, anti-infection and integration of chronic renal failure, while Chinese medicine treated the disease in stages according to the pathogenesis from Yang evidence to Yin evidence.,Clinical outcomes, The patient was discharged from the hospital with no further fever, improved sleep, and formed stools.
腹膜透析腹膜炎中西医结合治疗
peritoneal dialysisperitonitiscombined Chinese and western medicine treatmentcase report
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