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本文总结中西医结合治疗 ACST77例,通过辨病与辨证结合,中医学与现代医学技术检查和动物实验研究相结合,在对胆道排石汤和生脉散的药理效应以及术中取出的胆结石进行了分析等研究的基础上,改良了中药处方和中药剂型,注意扶正养阴,调理脾胃,总攻排石,合理应用中药针剂及其他药物防治 ACST 胆休克,需手术引流的采用经皮肝穿刺胆管抽脓或行经皮肝穿刺胆囊引流及 PTCD。严密观察,充分注意中转手术指征,避免急诊手术,力争择期手术,术后进行溶石治疗等非手术治疗,结果提高了治疗效果,降低了病死率。充分体现出中西医结合治疗 ACST 的优越性。
This article summarizes the combination of traditional Chinese and Western medicine treatment of 77 cases of ACST, through the combination of disease differentiation and syndrome differentiation, traditional Chinese medicine and modern medical technology and animal experiments combined with the biliary Paotang Tang and Shengmaisan pharmacological effects and removal of gallstones were Analysis and other research based on the improved Chinese prescriptions and traditional Chinese medicine formulations, attention Fuzheng and Yin, conditioning the spleen and stomach, the total offensive stone row, the rational use of traditional Chinese medicine and other drugs to prevent ACST gall bladder shock, need surgical drainage using percutaneous transhepatic bile duct pumping Pus or percutaneous transhepatic gallbladder drainage and PTCD. Close observation, full attention to the indications for transit surgery, to avoid emergency surgery, and strive to elective surgery, postoperative calculi treatment and other non-surgical treatment, the results improve the therapeutic effect and reduce the case fatality rate. Fully reflects the advantages of combining traditional Chinese and Western medicine treatment of ACST.