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[目的]观察大黄牡丹汤联合阿米卡星治疗阑尾脓肿疗效。[方法]使用前瞻性设计,大黄牡丹汤(牡丹皮、大黄后下各15g,桃仁10g,冬瓜仁30g,芒硝冲服9g;瘀滞加延胡索、赤芍各10g,败酱草、红藤30g,全瓜蒌12g;湿热型加佩兰、白蔻仁、藿香10g,薏苡仁30g;发热加金银花、蒲公英30g,山栀10g),1剂/d,水煎200m L,早中晚口服。维持体内水分及酸碱平衡,400mg阿米卡星+200m L 0.9%氯化钠,1次/d,静滴。两组均连续治疗7d为1个疗程。观测临床症状、包块体积、不良反应。连续治疗2疗程,判定疗效。[结果]痊愈7例,有效2例,无效1例,总有效率为90.00%。[结论]大黄牡丹汤联合阿米卡星治疗阑尾脓肿疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of rhubarb peony soup and amikacin on appendectomy. [Method] With the prospective design, Rhubarb Peony Decoction (Cortex Moutan, Rhubarb, 15g, peach kernel 10g, melon 30g, thenardite washed 9g; stasis plus corydalis, red peony 10g, Patrinia, red vine 30g, Whole melon 蒌 12g; damp-heat plus Perrin, white Kou Ren, Agastache 10g, Coix Seed 30g; fever and honeysuckle, Dandelion 30g, Gardenia 10g), 1 / d, decoction 200m L, morning and evening oral. Maintain the body’s water and acid-base balance, 400mg amikacin + 200m L 0.9% sodium chloride, 1 / d, intravenous infusion. Both groups were treated for 7 days for a course of treatment. Observation of clinical symptoms, mass, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] Seven cases were cured, two cases were effective, one case was ineffective and the total effective rate was 90.00%. [Conclusion] Rheum peony soup combined with amikacin in the treatment of appendiceal abscess has satisfactory curative effect and no serious side effects. It is worth popularizing.