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益活清下法为主治疗重症急性胰腺炎胰外器官损害与死亡原因分析附:235例病例报告
引用本文:黄宗文,蒋俊明,张肇达,夏庆,陈光远,赖珍玉. 益活清下法为主治疗重症急性胰腺炎胰外器官损害与死亡原因分析附:235例病例报告[J]. 成都中医药大学学报, 1999, 22(1)
作者姓名:黄宗文  蒋俊明  张肇达  夏庆  陈光远  赖珍玉
作者单位:华西医科大学,附属第一医院,四川,成都,610041
摘    要:目的:探讨益活清下法治疗重症急性胰腺炎(SAP)的疗效及其原理。方法:于1990年~1997年采用益活清下法治疗SAP235例,分为存活组和死亡组,分析两组胰外器官损害与死亡原因。结果:在休克、ARDS、氮质血症、心衰、胰性脑病、感染以及营养不良等胰外器官损害方面,两组比较有显著性差异;死亡原因为病程早期以休克或因休克等因素所致的急性肾衰和ARDS为主,后期以全身衰竭、继发感染伴MOF为主。结论:益活清下法为主的非手术综合疗法治疗SAP疗效显著,病死率明显降低,为9.79%。

关 键 词:重症急性胰腺炎  益活清下法  中西医结合治疗方法  胰外器官损害  死亡原因

Analysis of Cause of Deaths and Organic Damage Apart from Pancreata of Acute Pancreatitis Gravis Treated by TCM
HUANG Zongwen, JIANG Junming, ZHANG Zhaoda Affiliated Hospital of western Chian Medicine University. Analysis of Cause of Deaths and Organic Damage Apart from Pancreata of Acute Pancreatitis Gravis Treated by TCM[J]. Journal of Chengdu University of Traditional Chinese Medicine, 1999, 22(1)
Authors:HUANG Zongwen   JIANG Junming   ZHANG Zhaoda Affiliated Hospital of western Chian Medicine University
Abstract:SUMMARY:Comparatively studied 235 cases of deaths and survivors of acute pancreatitis gravis treated by the therapy of repleishing Qi and nourishing Yin, promoting blood circulation and removing blood stasis, clearing away heat and toxic material, relaxing the bowels to clearing away heat and toxic. The results showed that the cause of death at early stage in the course was shock etc. and the cause of death at late stage in the course was failure etc. It was suggested that TCM had some therapeutic effect for acute pancreatitis gravis.
Keywords:Acute pancreatitis gravis  Organic damage apart from pancreata  Cause of death
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