中医治疗慢加急性肝衰竭之黄疸病案分析1例
Analysis of A Case of Jaundice Treated by Traditional Chinese Medicine with Acute-on-chronic Liver Failure
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1.陕西中医药大学附属医院,咸阳 712000
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吴杰,闫瑞娟,常占杰.中医治疗慢加急性肝衰竭之黄疸病案分析1例[DB/OL].(2023-11-13)[2023-11-13].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43867622&Fpath=home&index=0&lang=zh
WU Jie,YAN Ruijuan,CHANG Zhanjie.Analysis of A Case of Jaundice Treated by Traditional Chinese Medicine with Acute-on-chronic Liver Failure[J].,
吴杰,闫瑞娟,常占杰.中医治疗慢加急性肝衰竭之黄疸病案分析1例[DB/OL].(2023-11-13)[2023-11-13].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43867622&Fpath=home&index=0&lang=zh DOI:
WU Jie,YAN Ruijuan,CHANG Zhanjie.Analysis of A Case of Jaundice Treated by Traditional Chinese Medicine with Acute-on-chronic Liver Failure[J]., DOI:.
病史摘要,2,患者魏某,男,29岁,2017年诊断为慢乙肝,4月前自行停用抗病毒药,3天前自觉身、目、小便色黄,在当地诊所接受治疗,疗效不佳,现为求进一步的诊治,遂入院治疗。中医诊断 黄疸(湿热蕴结瘀毒证)。西医诊断 慢加急性肝衰竭。干预措施 西医治疗以保肝、退黄、降酶、抗病毒等对症处理,并输注血浆、白蛋白等,具体用药包括:腺苷蛋氨酸、异甘草酸镁注射液、多烯磷脂酰胆碱注射液、熊去氧胆酸胶囊、富马酸丙酚替诺福韦酯(进口);中医治疗初期以清热利湿、化瘀解毒为法,后期以益气健脾,活血化瘀为法,辨证论治,随证治之。疗效转归 患者症状及体征明显好转,肝功能明显改善,其中转氨酶及胆红素明显下降;凝血功能逐步恢复;达到临床出院标准。
Summary of case history, Patient Wei Mou, male, 29 years old, was diagnosed with chronic hepatitis B in 2017. He stopped using antiviral drugs on his own four months ago, and felt yellow in body, eyes and urine three days ago. He was treated in a local clinic, and the curative effect was not good. Now he is hospitalized for further diagnosis and treatment.,TCM diagnosis, Traditional Chinese medicine diagnosis: jaundice, amp-heat accumulation, blood stasis and toxin syndrome. Western medicine diagnosis: acute-on-chronic liver failure jaundice.,Therapeutis methods, Western medicine treatment includes symptomatic treatment such as protecting liver, reducing jaundice, reducing enzyme and resisting virus, and infusion of plasma, albumin, etc. The specific drugs include: adenosylmethionine, magnesium isoglycyrrhizinate injection, polyene phosphatidylcholine injection, ursodeoxycholic acid capsule and tenofovir disoproxil fumarate (imported); In the early stage of TCM treatment, the methods of clearing heat and promoting diuresis, removing blood stasis and detoxicating were used, and in the later stage, the methods of invigorating qi and strengthening spleen, promoting blood circulation and removing blood stasis were used, and the treatment was based on syndrome differentiation.,Clinical outcomes, The symptoms and signs of the patients improved obviously, and the liver function improved obviously, among which transaminase and bilirubin decreased obviously. Coagulation function gradually recovered; Meet the clinical discharge standards.
慢加急性肝衰竭黄疸降黄合剂Ⅰ号方降黄合剂Ⅱ号方
Acute-on-chronic liver failure jaundiceNo.1 prescription of Jianghuang mixtureNo.2 prescription of Jianghuang mixture
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