重症急性胰腺炎胰腺假性囊肿的中医辨治思路浅析  

A preliminary analysis on using traditional Chinese medicine differentiation thinking for treatment ofpancreatic pseudocyst induced by severe acute pancreatitis

作　　者：胡凤林[1] 柳偲 刘畅[1] 周琪 蒋柳 娄妮 尚东[1] 

机构地区：[1]大连医科大学附属第一医院中西医结合普外科,辽宁省胆胰疾病中西医结合治疗中心,大连医科大学中西医结合研究院,辽宁大连116000

出　　处：《中国中西医结合急救杂志》2018年第1期5-8,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：国家自然科学基金（81072918,81373875）;辽宁省省直医院改革重点临床科室诊疗能力建设项目（LNCCC-A03-2015）

摘　　要：胰腺假性囊肿（PPC）为重症急性胰腺炎（SAP）常见的胰周并发症之一，属中医瘕瘕积聚的范畴，熟练运用外科微创手段，结合中医中药，在促进囊肿吸收率、减少手术干预率、降低并发症等方面优势明显。中医辨证论治SAP并发PPC可从少阳经脉病变人手，借鉴少阳肝胆脏腑病变治法，以疏肝利胆，通腑降浊，活血软坚为基本治则，辨证使用PPC基本方，局部配合中医外治法，临床疗效明显。现就SAP并发PPC的中医辨治思路论述如下。Pancreatic pseudocyst （PPC） is one of the common peri-pancreatic complications of severe acute panereatitis （SAP）, and it belongs to the category of Zhengjiajiju in traditional Chinese medicine （TCM）. Clinically, skilled use of surgical minimally invasive means combined with TCM treatment has remarkable advantages in promoting the rate of cystic absorption, reducing the surgical intervention rate, lowering the incidence of complications, etc. TCM syndrome differentiation treatment for SAP complicated with PPC can start from Shaoyang meridian lesions, and the treatment of Shaoyang liver and gallbladder visceral disease can be taken as an example. The clinical therapeutic result is significant by using soothing liver and normalizing gallbladder function, removing stagnancy and obstruction of the fu-organs and invigorating blood circulation and softening hard mass as the basic TCM rules to dialectically use the PPC basic prescription, locally accompanying with external therapy. The discussion of this article focuses on the experience of usin~ TCM syndrome differentiation for treatment of patients with PPC induced by SAP.

关 键 词：胰腺假性囊肿 少阳经脉病变 中医 外治法 

分 类 号：R657.51[医药卫生—外科学]