论文部分内容阅读
1990～1995年,我们采用中西医结合方法治疗急性水肿型胰腺炎患者50例,疗效显著。现报告如下。 临床资料:将同期收治的100例急性水肿型胰腺炎(均符合1988年北京中日难治性胰腺疾病讨论会议制定的诊断标准)患者随机分为中西医结合治疗组和对照组各50例。两组临床资料具有可比性。 治疗方法:在综合治疗(静脉补液、补钾、钙、维持水电解质平衡,用抗生素)的基础上,治疗组选用清胰汤,基本方为当归60g,柴胡、枳实各12g,白芍、元胡各15g,木香(后下)、甘草各10g,败酱草、丹参、生黄芪各20g, 黄连5g,水煎服,每日1剂,10天为一疗程。腹痛剧者加川楝子15g,重用白芍;呕吐甚者加竹茹10g;便秘重者加大黄20g(后下),芒硝10g(冲服);热毒盛者加生石膏30g,双花、连翘各15g;湿热黄疸者加菌陈30g、泽泻10g;蛔厥者加乌梅、槟榔各15g。另每日静脉缓滴硝酸甘油5mg,共5天。对照组常规应用盐酸654—2注射液20～40mg加入10％葡萄糖液500ml中静滴,每日1次,10天为一疗程;口服雷尼替丁,肌注度冷丁。在治疗过程中,两组均禁食1～3天后进无油脂流食。治疗前后行血常规、血尿淀粉酶及B超检查。
From 1990 to 1995, we used 50 cases of acute edematous pancreatitis combined with traditional Chinese and western medicine to treat patients with significant effect. The report is as follows. Clinical data: 100 cases of acute edematous pancreatitis (all in line with 1988 Beijing Sino-Japanese Conference on the Treatment of Intractable Pancreatosis diagnostic criteria) patients were randomly divided into Integrative Medicine group and control group of 50 patients. Two sets of clinical data is comparable. Treatment: Based on the comprehensive treatment (intravenous rehydration, potassium, calcium, maintain water and electrolyte balance, with antibiotics), the treatment group selection of Qingyi Decoction, the basic side Angelica 60g, Bupleurum, Citrus aurantium each 12g, , Yuanhu the 15g, woody (later), licorice 10g, Patrinia, Salvia, raw Astragalus 20g, Coptis 5g, Shuijianbi day 1, 10 days for a course of treatment. Abdominal pain by plus Toosendan 15g, re-use peony root; vomiting worse plus Zhuru 10g; constipation heavy plus rhubarb 20g (later), Glauber’s salt 10g Each 15g; damp jaundice add bacteria Chen 30g, Alisma 10g; round jueji Yu Wu Mei, areca 15g. The other daily intravenous nitroglycerin 5mg, a total of 5 days. The control group routine application of hydrochloric acid 654-2 injection of 20 ~ 40mg 10% glucose solution 500ml intravenous infusion, once daily, 10 days for a course of treatment; oral ranitidine, intramuscular injection of cold Ding. In the course of treatment, both groups were fasting 1 to 3 days into the fat-free flow of food. Before and after treatment of blood routine, hematuria, amylase and B-ultrasound.