血液透析患者反复发热治验1则  

One Proved Case of Repeated Fever in Hemodialysis Patients

作　　者：张文 卢跃卿[2] ZHANGWen;LU Yueqing(Henan University of Traditional Chinese Medicine,Henan Province,Zhengzhou 450000,China;Blood Purification Center,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Henan Province,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学,河南郑州450000 [2]河南中医药大学第一附属医院血液净化中心,河南郑州450000

出　　处：《中国中医药现代远程教育》2020年第7期97-99,共3页Chinese Medicine Modern Distance Education of China

摘　　要：血液透析患者在透析过程中或透析后会出现发热的症状,而反复发热较为少见,本例患者确诊为导管相关感染后抗生素应用无效,给予更换导管后仍然有发热症状,难以找到确切原因。本文通过整理卢跃卿教授治疗血液透析患者反复发热案例1则,分析卢师运用"清热除湿,养阴活瘀"法治疗发热的辨证思维,阐述湿热发热的机理及治疗原则,充分发挥中医药在解决临床疑难问题的优势,为临床提供参考。Fever symptoms occur in hemodialysis patients during or after dialysis,but repeated fever is relatively rare.The patient was diagnosed as invalid antibiotic use after catheter-related infection.Fever symptoms still exist after catheter replacement,and it is difficult to find the exact cause.Through sorting out Professor Lu Yueqing’s case of recurrent fever in hemodialysis patients,this paper analyses Lu Shi’s syndrome differentiation thinking of treating fever by "clearing away heat and dampness,nourishing yin and activating blood stasis",expounds the mechanism and treatment principle of dampness-heat fever,and gives full play to the advantages of traditional Chinese medicine in solving difficult clinical problems,so as to provide reference for clinical practice.

关 键 词：血液透析 从湿热论治 反复发热 医案 

分 类 号：R277.5[医药卫生—中医学] R249