扶正固摄法联合手术治疗晚期胆囊癌1例
增强出版One case of advanced gallbladder cancer treated by "FuZhengGuShe" method combined with operation
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1.首都医科大学附属北京世纪坛医院中医科,北京 100038
2.北京中医药大学东直门医院血液肿瘤科, 北京 100700
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杨涛, 朱雪莹, 李忠. 扶正固摄法联合手术治疗晚期胆囊癌1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29488757&Fpath=home&index=0
YANG Tao, ZHU Xueying, LI Zhong. One case of advanced gallbladder cancer treated by "FuZhengGuShe" method combined with operation[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29488757&Fpath=home&index=0
杨涛, 朱雪莹, 李忠. 扶正固摄法联合手术治疗晚期胆囊癌1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29488757&Fpath=home&index=0 DOI:
YANG Tao, ZHU Xueying, LI Zhong. One case of advanced gallbladder cancer treated by "FuZhengGuShe" method combined with operation[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29488757&Fpath=home&index=0 DOI:
病史摘要,2,患者匡某某,女,55岁,2014年4月无明显诱因出现右上腹疼痛并进行性加重,2014年5月5日行腹部MRI提示胆囊、肝门及胰头后方占位性病变,考虑恶性可能性大,转移不除外。综合患者病情诊断为“晚期胆囊癌”,建议行化疗,患者及家属拒绝化疗。2014年5月至2015年5月,患者开始行中成药注射剂治疗,后因出现双下肢无力,影响活动而停止治疗。为求进一步中医治疗,2015年8月5日患者就诊于我院血液肿瘤科门诊。四诊信息 右上腹时有疼痛,腹胀,乏力,双下肢疼痛,影响活动,无恶寒发热,无异常汗出,无胸闷气短,纳差,偶有恶心,舌紫黯,舌下脉络明显,苔白腻,脉沉滑。中医诊断 积聚,正气亏虚、痰瘀互结证。西医诊断 胆囊恶性肿瘤(胆囊底部)。干预措施 2015年8月至2018年12月以单纯中药汤剂口服扶正固摄、化痰散结、活血解毒为主,2019年3月行外科手术治疗。疗效转归 患者经中药治疗获得了较长的生存期,并顺利完成胆囊切除术。2022年6月20日随访,患者无明显不适症状、无复发。
Summary of case history, Kuang, female, 55 years old, had no obvious cause of right upper abdominal pain and progressive exacerbation in April 2014. And an abdominal MRI was performed on May 5, 2014, suggesting an occupational lesion in the gallbladder, hepatic hilar and posterior pancreatic head, with a high possibility of malignancy, the metastasis was not excluded. From May 2014 to May 2015, the patient was treated with Chinese medicine injection in another hospital, and then stopped treatment because of weakness of both lower limbs and influence on activities. For further TCM treatment, the patient visited our hematology-oncology outpatient clinic on August 5, 2015. Information of the four consultations: pain in the right upper abdomen from time to time, abdominal distension, weakness, pain in both lower limbs, affecting activities, no cold and fever, no abnormal sweating, no chest tightness, shortness of breath, poor nausea, occasional nausea, purple dull tongue, obvious veins under the tongue, white and greasy moss, sunken and smooth pulse.,TCM diagnosis, Accumulation, deficiency of positive qi, evidence of phlegm and stasis interconnection.,Western medicine diagnosis, Malignant tumor of gallbladder (Bottom of gallbladder).,Therapeutic methods, From August 2015 to December 2018, the main treatment was based on simple Chinese medicine to support Zheng and consolidate, resolve phlegm and disperse nodules, activate blood and detoxify the toxin, and surgical treatment was performed in March 2019.,Clinical outcomes, The patient obtained a long survival period after treatment with Chinese medicine and successfully completed cholecystectomy. On June 20, 2022 follow-up, the patient has no obvious uncomfortable symptoms and no recurrence.
中西医结合胆囊癌腹膜后淋巴结肿大扶正固摄胆囊切除术
Integrated Traditional Chinese and Western medicineGallbladder cancerRetroperitoneal lymph node enlargementSupport and consolidationCholecystectomy
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