托里消毒散联合千金苇茎汤治疗腹膜炎及腹透导管相关感染的病例分析
Tuoli Xiaodu Powder combined with Qianjin Weijing Decoction in treatment of peritonitis and peritoneal dialysis catheter-related infection:case analysis
金叶 1仲昱2
作者信息
- 1. 江苏省扬州市中医院药学部,江苏扬州,225100
- 2. 江苏省中医院肾内科,江苏南京,210000
- 折叠
摘要
患者行腹膜透析治疗过程中易发生腹膜炎、腹透导管相关感染,万古霉素联用头孢哌酮舒巴坦二联抗感染治疗后效果不佳,予以托里消毒散合千金苇茎汤,感染得到有效控制.患者病程迁延,正气不足,正虚邪陷,治以益气补血,清热解毒,托里排脓.选方托里消毒散合千金苇茎汤加减,及时控制患者感染情况,为临床治疗腹膜炎、腹透导管相关感染提供新的选择.
Abstract
Patients are prone to present peritonitis and catheter-related infections during perito-neal dialysis treatment,and the combined treatment of vancomycin and cefoperazone sulbactam fails to achieve the satisfactory anti-infective effect,but the combined treatment of Tuoli Xiaodu Powder and Qianjin Weijing Decoction can effectively control the infection.The patient's illness was protracted,with insufficient vital energy and the invasion of pathogenic factors,so the treatment was focused on invigorating qi and enriching blood,clearing heat and detoxifying,and removing abscesses.Tuoli Xi-aodu Powder combined with Qianjin Weijing Decoction with modifications can timely control the pa-tient's infection and provide a new option for clinical treatment of peritonitis and catheter-related in-fections.
关键词
托里消毒散/千金苇茎汤/腹膜炎/腹膜透析导管/感染Key words
Tuoli Xiaodu Powder/Qianjin Weijing Decoction/peritonitis/peritoneal dialysis catheter/infection引用本文复制引用
基金项目
江苏省中医药局中医药科技发展计划重点项目(ZD202205)
全国优秀中医(临床、基础)人才研修项目(第四批)(国中医药人教发[2017]24号)
出版年
2024
国家科技期刊平台
NSTL
万方数据