不同寻常的腹胀
Unusual Bloating
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于澜,陈普照,卢秉久.不同寻常的腹胀[DB/OL].(2023-11-13)[2023-11-13].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43868871&Fpath=home&index=0&lang=zh
YU Lan,CHEN Puzhao,LU Bingjiu.Unusual Bloating[J].,
于澜,陈普照,卢秉久.不同寻常的腹胀[DB/OL].(2023-11-13)[2023-11-13].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43868871&Fpath=home&index=0&lang=zh DOI:
YU Lan,CHEN Puzhao,LU Bingjiu.Unusual Bloating[J]., DOI:.
病史摘要,2,本例为中医药治疗的戈谢病患者,主因“腹胀伴肝脏进行性肿大10年,加重10天”就诊,行脾切除术,西药保肝降酶治疗,未见明显好转,后就诊于我院,辅助检查提示肝功能异常、血常规提示三系减少,影像学提示肝大、巨脾,肝穿刺活检提示脂质代谢障碍,符合Gaucher氏病,骨髓穿刺示戈谢病Ⅰ型。中医四诊合参辨证为气滞血瘀,治法为理气消积,活血化瘀。患者在中药口服期间,积极配合治疗,未应用其他药物,中药口服1月余,不适症状基本消失,肝功能基本恢复正常。中医诊断 积聚(气滞血瘀证)。西医诊断 戈谢病。干预措施 中药辨证治疗1月余。疗效转归 患者腹胀较前明显减轻,肝功能基本正常。
Summary of case history, This case is a patient with Gaucher's disease treated with traditional Chinese medicine. The main cause was abdominal distension accompanied by progressive liver enlargement for 10 years, which worsened for 10 days. Splenectomy was performed and western medicine was used to protect the liver and reduce enzyme levels, but no significant improvement was observed. Later, the patient sought medical attention at our hospital. The auxiliary examination showed abnormal liver function, blood routine examination showed a decrease in the tertiary system, imaging showed liver enlargement and splenomegaly, liver biopsy showed lipid metabolism disorders, consistent with Gaucher's disease, and bone marrow biopsy showed Gaucher's disease type Ⅰ. The syndrome differentiation of the four diagnostic methods in traditional Chinese medicine is Qi stagnation and blood stasis, and the treatment method is to regulate Qi and eliminate accumulation, promote blood circulation and remove stasis. During the period of oral administration of traditional Chinese medicine, the patient actively cooperated with the treatment and did not use any other drugs. After more than a month of oral administration of traditional Chinese medicine, the discomfort symptoms basically disappeared and liver function basically returned to normal.,TCM diagnosis, Accumulation, Qi stagnation and blood stasis syndrome.,Western medicine diagnosis, Gaucher disease.,Therapeutic methods, Traditional Chinese medicine syndrome differentiation treatment for over a month.,Clinical outcomes, The patient's abdominal distension has significantly decreased compared to before, and liver function is basically normal.
戈谢病腹胀中药治疗
Gaucher's diseaseabdominal distensiontraditional Chinese medicine treatment
何广胜. 最新中国戈谢病专家共识解读(2015版)[C]//中华医学会,中华医学会血液学分会.中华医学会第15次全国红细胞疾病(贫血)学术会议讲义.[出版者不详],2015:83-89.
韩冰,陈苗,杨辰.戈谢病多学科诊疗专家共识(2020)[J].协和医学杂志,2020,11(6):682-697. 附件:2021.11.22日检查
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