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针灸结合复方大承气汤加减治疗脑出血血肿清除术后不完全性肠梗阻案1则
刘秋平1,2,3, 刘涛1,2, 张雪竹1,2
1.天津中医药大学第一附属医院针灸部, 天津 300381;2.国家中医针灸临床医学研究中心, 天津 300381;3.天津中医药大学, 天津 301617
摘要:
肠梗阻主要临床症状表现为恶心、呕吐、腹胀、腹痛、无排气排便,可直接影响患者胃肠功能恢复。西医治疗以禁食、纠正水电解质紊乱、抗感染、灌肠及胃肠减压等保守治疗,其治疗过程中常转化为完全性肠梗阻而转需手术。文章介绍于西医保守治疗下予针灸结合中药治疗1例脑出血血肿清除术后不完全性肠梗阻,患者临床症状改善明显,胃肠功能得以较快恢复。
关键词:  肠梗阻  针灸  复方大承气汤  脑出血血肿清除术后
DOI:10.11656/j.issn.1673-9043.2022.06.12
分类号:R574.2
基金项目:国家自然基金课题项目(82174492);天津市重点研发计划项目(20YFZCSY00810)。
Acupuncture combined with compound Dachengqi Decoction in the treatment of incomplete intestinal obstruction after hematoma evacuation of cerebral hemorrhage:one case report
LIU Qiuping1,2,3, LIU Tao1,2, ZHANG Xuezhu1,2
1.Acupuncture Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China;3.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
The main clinical symptoms of intestinal obstruction are nausea,vomiting,abdominal distension, abdominal pain,and no exhaust defecation,which can directly affect the recovery of gastrointestinal function in patients. Western medicine treatment is based on conservative treatment such as fasting,correcting water-electrolyte disorders,anti-infection,enema and gastrointestinal decompression. In the course of treatment,it is often converted to complete intestinal obstruction and needs surgery. This paper introduces a case of incomplete intestinal obstruction after hematoma evacuation of cerebral hemorrhage treated by acupuncture combined with traditional Chinese medicine under the conservative treatment of Western medicine. The clinical symptoms of the patient improved significantly and the gastrointestinal function recovered quickly.
Key words:  intestinal obstruction  acupuncture  compound Dachengqi Decoction  hematoma removal after intracerebral hemorrhage
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