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一、机体損伤或术后的一般代謝規律为17羟皮貭类固醇排出量升高,蛋白貭丟失,鈉及水瀦留及鉀排出增多,但可受到各种影响。影响代謝的主要环节为伤后飲食供应及摄入(包括蛋白质、热量等)損伤的严重程度、併发症及性别等。机体代謝虽与腎上腺皮貭功能状况等有关,但尚决定于供应及調节适当与否。二、伤后蛋白质的分解及醣异生作用、鈉、水瀦留、钾及17羟皮貭类固醇排出量增多为机体的应激措施。如患者飲食良好,暂时的紊乱能迅速自行調整,不致造成严重后果。三、如患者因故不能进食,在无特殊丟失时,伤后最初数日內每日补充液体宜在2000毫升左右,鈉約4—6克,钾約1—2克。靜脉輸入葡萄糖液之同时宜給予适量胰岛素。测定血鈉、钾、及糖含量后才能确定补充数量。四、本組观察服“伤药”者9例。由于不服“伤药”组的17羟皮貭类固醇日排出量波动亦大,未能明显看出“伤药”对17羟皮貭类固醇的分泌有抑制作用,內分泌对氮代謝的影响亦不明确,前者的升高为期甚短,后者負平衡有时可持續較久。附方: (1) 七厘散~(13) 处方:制乳香15两归尾2两制沒药15两血竭12斤半儿茶1斤半 紅花15两 硃砂15两麝香1两2錢 冰片1两2钱以上共为細粉,每瓶重5分。功能:散瘀、活血、消肿、止痛。主治:跌打损伤,黑紫紅肿,血瘀作疼,閃腰岔气,伤筋动骨,皮破流血。用法用量:每次服一瓶,黄酒送下,白开水亦可,外敷伤口酌用,孕妇忌服。 (2) 正骨黑砂丸~(13) 处方:无名昇 自然銅火煆醋薰七次当归没药乳香土鰲地龙苏木各2两,麻黄1两,炼蜜为丸,每付2钱,幼年酌减。主治:伤筋动骨,接骨止痛。用法:睡前服用,每日一次,孕妇忌服。
First, the general mechanism of body injury or postoperative metabolism of 17 hydroxypyridacostat increased steroid output, protein loss, sodium and water retention and potassium excretion increased, but can be affected. The main links affecting metabolism are the severity of injury, complications and gender of the dietary supply and intake (including protein, calories, etc.) after injury. Although the body metabolism and adrenal function status, etc., but still decided to supply and adjust the appropriate or not. Second, the injury of protein decomposition and gluconeogenesis, sodium, water retention, potassium and 17 hydroxypyridamole steroid excretion increased as the body’s stress measures. If the patient’s diet is good, temporary disruption can be quickly adjusted without serious consequences. Third, if the patient can not eat for some reason, in the absence of special loss, the first few days after injury, the daily replenishment of liquid should be about 2000 ml, about 4-6 grams of sodium, potassium about 1-2 grams. Intravenous glucose solution should be given at the same time appropriate amount of insulin. Determination of serum sodium, potassium, and sugar content to determine the number of supplements. Fourth, this group observation service “wound medicine” in 9 cases. Due to dissatisfaction with the “injury medicine” group of 17 hydroxypyridacosts daily discharge fluctuations are not obvious “wounding” on the 17 hydroxypyridantone secretion inhibition, endocrine nitrogen metabolism is also not clear , The former is short-term rise, the latter may sometimes be negative balance for a long time. Attached: (1) Qi Li San ~ (13) Prescription: 15 made of frankincense two tail two two myrrh 15 two blood 12 kg half tea 1 kg half safflower 15 two cinnabar 15 two musk 1 two 2 money borneol A total of more than two 2 money for the powder, each bottle weighs 5 points. Function: stasis, blood circulation, swelling, painkillers. Indications: bruises, bruising, blood stasis, flabby Chaqi, broken muscles, skin broken bleeding. Dosage: Each serving a bottle, send down rice wine, boiled water can also be used topical discretion, pregnant women avoid clothing. (2) Zhenggao black sand pill ~ (13) prescription: unknown rose natural copper fire vinegar Kaoru seven angelica non-drug milk frankincense Aon dragon hematoxylin 2 two, Ephedra 1 two, refining honey for the pills, for every 2 money , Juvenile reduction. Indications: Wanjin bone, bone pain. Usage: Taking at bedtime, once a day, pregnant women avoid clothing.