福建省首次5例输入性黄热病中西医结合治疗

发布时间：2018-11-18 06:38

【摘要】：目的分析中西医结合治疗输入性黄热病的疗效。方法 2016年3月收治的5例输入性黄热病患者采用隔离、对症及支持治疗结合中医辨证治疗。5例患者中1例患者入院时有发热,予地塞米松注射液抗炎,奥美拉唑粉针剂抑酸保护胃黏膜及补液支持,5例患者均有不同程度肝损害,予复方甘草酸单铵粉针剂、还原型谷胱甘肽粉针剂保肝、降酶,并给予对症治疗。根据中医辨证分型辨证选择口服全成分中药颗粒剂,每日1剂,分两次冲服。1例发热患者入院时有恶寒、头身痛,厌食、恶心,舌边尖红,舌苔中后部白厚腻,脉浮数,辨证湿热郁阻,方选甘露消毒丹加金银花、连翘及佩兰等。连服5剂。其他患者入院时无发热,感轻度乏力,饮食一般,舌淡,苔少,脉细。余邪未净证,方选薏苡竹叶汤加金银花、太子参。连服7剂。观察患者体温、临床症状及实验室结果。结果所有患者均达到体温正常,临床症状缓解,均符合出院标准,痊愈出院。结论中西医结合治疗黄热病可以取得良好疗效。
[Abstract]:Objective to analyze the effect of integrated traditional Chinese and western medicine on imported yellow fever. Methods five patients with imported yellow fever were treated with isolation, supportive therapy and TCM syndrome differentiation in March 2016. One of the 5 patients had fever on admission and was treated with dexamethasone injection to resist inflammation. Omeprazole powder injection inhibited acid to protect gastric mucosa and resuscitation support. Five patients all had different degree of liver damage. Compound glycyrrhizin monoammonium powder injection, reduced glutathione powder injection were used to protect liver and reduce enzyme, and were treated with symptomatic treatment. According to syndrome differentiation of TCM, oral Chinese medicine granules were selected according to syndrome differentiation of traditional Chinese medicine, one dose per day and two times. 1 patient with fever was ill with cold, head pain, anorexia, nausea, red tip of tongue, thick white and greasy back part of tongue coating, floating number of veins when he was admitted to hospital. Differentiation of dampness and heat stagnation, Fang selected to disinfect Danjia Flos Lonicerae, Forsythia and Perrin, etc. Take five doses in a row. Other patients were admitted without fever, mild fatigue, general diet, light tongue, less fur, fine pulse. Yu evil did not clean the card, Fang selected Bamboo Leaf Coix Flos Lonicerae decoction, Pseudostellariae. Take even 7 doses. Body temperature, clinical symptoms and laboratory results were observed. Results all patients reached normal body temperature, clinical symptoms were relieved, all the patients met the discharge standard, recovered and discharged. Conclusion combination of traditional Chinese and western medicine can obtain good curative effect on yellow fever.
【作者单位】：福州市传染病医院;
【分类号】：R512.8

【相似文献】