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目的分析中西医结合治疗输入性黄热病的疗效。方法 2016年3月收治的5例输入性黄热病患者采用隔离、对症及支持治疗结合中医辨证治疗。5例患者中1例患者入院时有发热,予地塞米松注射液抗炎,奥美拉唑粉针剂抑酸保护胃黏膜及补液支持,5例患者均有不同程度肝损害,予复方甘草酸单铵粉针剂、还原型谷胱甘肽粉针剂保肝、降酶,并给予对症治疗。根据中医辨证分型辨证选择口服全成分中药颗粒剂,每日1剂,分两次冲服。1例发热患者入院时有恶寒、头身痛,厌食、恶心,舌边尖红,舌苔中后部白厚腻,脉浮数,辨证湿热郁阻,方选甘露消毒丹加金银花、连翘及佩兰等。连服5剂。其他患者入院时无发热,感轻度乏力,饮食一般,舌淡,苔少,脉细。余邪未净证,方选薏苡竹叶汤加金银花、太子参。连服7剂。观察患者体温、临床症状及实验室结果。结果所有患者均达到体温正常,临床症状缓解,均符合出院标准,痊愈出院。结论中西医结合治疗黄热病可以取得良好疗效。
Objective To analyze the curative effect of integrated traditional Chinese and western medicine on imported yellow fever. Methods In March 2016, 5 cases of imported yellow fever patients were treated with isolation, symptomatic and supportive treatment combined with TCM syndrome differentiation. One patient in 5 patients had fever when admitted to hospital, dexamethasone injection anti-inflammatory, omeprazole injection suppressive acid protection gastric mucosa and fluid replacement support, 5 patients had varying degrees of liver damage, to compound glycyrrhizin Monoammonium injection, reducing glutathione injection of liver, reducing enzyme, and given symptomatic treatment. According to syndrome differentiation of traditional Chinese medicine choose oral full-ingredient Chinese medicine granules, a day, two times blunt. 1 case of fever admitted to patients with aversion to cold, headache, anorexia, nausea, tongue edge red, thick white tongue greyish back, pulse floating number, And Perrin and so on. Even serving 5 doses. Other patients admitted to hospital without fever, mild mild fatigue, general diet, pale tongue, less moss, pulse fine. Yu evil is not net certificate, prescription election Coix bamboo soup plus honeysuckle, heterophylla. Serve 7 doses Observe the patient’s temperature, clinical symptoms and laboratory results. Results All patients achieved normal body temperature and relieved clinical symptoms, all of which met discharge standards and were discharged. Conclusion Integrative treatment of yellow fever can achieve good results.