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| 破格救心汤治疗急性心力衰竭1则 |
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刘浩辉1,2,3, 黎卉4, 卢有亮4, 刘树生4, 倪世豪1,2,3, 杨忠奇1,2,3, 彭晓红4
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1.广州中医药大学第一附属医院, 广州 510400;2.第一临床医学院, 广州中医药大学, 广州 510006;3.中医证候全国重点实验室, 广州中医药大学第一附属医院, 广州 510400;4.广州中医药大学第一附属医院白云医院, 广州 510470
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| 摘要: |
| 急性心力衰竭是高致死率心血管急症，临床表现为活动后气促、严重呼吸困难伴粉红色泡沫痰、水肿、尿量明显减少，严重者可意识障碍，呼吸衰竭，甚至死亡。本案患者心源性休克后出现多器官功能障碍，中医辨证为心阳虚衰证，以回阳救逆、益气固脱为法，采用破格救心汤联合常规治疗，临床症状迅速改善，且无不良反应。 |
| 关键词: 急性心力衰竭 破格救心汤 回阳救逆 |
| DOI：10.11656/j.issn.1673-9043.2024.02.10 |
| 分类号:R541.61 |
| 基金项目:广州市中医优势专科建设项目（共建）。 |
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| Efficacy of Poge Jiuxin Decoction in the treatment of acute heart failure: a case report |
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LIU Haohui1,2,3, LI Hui4, LU Youliang4, LIU Shusheng4, NI Shihao1,2,3, YANG Zhongqi1,2,3, PENG Xiaohong4
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1.The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510400, China;2.First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510006, China;3.State Key Laboratory of Traditional Chinese Medicine Syndrome, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510400, China;4.Baiyun Hospital of The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510599, China
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| Abstract: |
| Acute heart failure (AHF) represents a pivotal cardiovascular emergency characterized by a pronounced mortality risk. Clinically,patients may present with exertional dyspnea,severe respiratory distress marked by pink frothy sputum,edema,reduced urinary output,and in severe cases,altered mental status,respiratory insufficiency,or mortality. In the case at hand,the patient displayed multi-organ dysfunction following an episode of cardiogenic shock. Within the framework of Traditional Chinese Medicine (TCM),the distinguishing pattern was identified as an extreme depletion of heart yang. The method of treatment involves restoring yang and rescuing from collapse,and benefiting the qi and consolidating detachment. Concurrently,Poge Jiuxin Decoction was administered alongside standard therapeutic modalities. Notably,the patient exhibited rapid clinical improvement without any discernible adverse reactions. |
| Key words: acute heart failure Poge Jiuxin Decoction restoring yang and rescuing from collapse |
