中西医结合预防断指再植术后血管危象22例

发布时间:2018-07-25 17:43
【摘要】:目的:观察中西医结合预防断指再植术后血管危象的疗效。方法:22例断指再植后出现血运障碍,给予活血化瘀的中药,不同的手指给予不同的引经药物,拇指桔梗、升麻,示指给予白芷,中指给予牡丹皮、柴胡,环指给予连翘,并根据血运障碍,采用针刺治疗。结果:24个手指出现血运障碍,其中10个手指出现动脉痉挛,14个手指出现静脉回流障碍。经治疗,血运障碍缓解18个手指,占75.8%。6个手指进一步发展为血管危象,经手术探查,有3个手指成活,3个坏死,成活率为86.5%。结论:中西医结合治疗对预防断指再植术后血管危象有肯定的疗效。
[Abstract]:Objective: to observe the effect of integrated traditional Chinese and western medicine on the prevention of vascular crisis after replantation of severed fingers. Methods Twenty two patients with blood circulation disorder after replantation of severed fingers were treated with traditional Chinese medicine of promoting blood circulation and removing blood stasis. Different fingers were given different meridian drugs, Platycodon grandiflorum, ascendant, white angelica dahurica, middle finger peony peel, Bupleurum chinense, ring finger Forsythia suspensa. According to the blood flow disorder, acupuncture was used. Results: there were 24 fingers with blood flow disorder, 10 fingers with arterial spasm and 14 fingers with venous regurgitation disorder. After treatment, 18 fingers were alleviated, accounting for 75.8.6 fingers further developed into vascular crisis. After surgical exploration, 3 fingers survived, 3 fingers were necrotic, and the survival rate was 86.5%. Conclusion: integrated traditional Chinese and western medicine is effective in preventing vascular crisis after replantation of severed fingers.
【作者单位】: 鞍山市中医院 鞍山市中医院 鞍山市中医院 鞍山市中医院
【分类号】:R658.1

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