益气活血凉血生肌法治疗急性心肌梗死后室壁瘤1例  

One case of ventricular aneurysm after acute myocardial infarction treated by benefiting qi and activating blood circulation, cooling blood and generating muscle

作　　者：李岩[1] 李宇轩 李鹏[1] 李冬 崔晓云[1] 刘静[1] 逯金金[1] 林谦[2] LI Yan;LI Yuxuan;LI Peng;LI Dong;CUI Xiaoyun;LIU Jing;LU Jinjin;LIN Qian(Department of Cardiology,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing100078,China;Department of Cardiology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing100700,China)

机构地区：[1]北京中医药大学东方医院心血管科,北京100078 [2]北京中医药大学东直门医院心内科,北京100700

出　　处：《中国医药导报》2022年第33期180-183,共4页China Medical Herald

基　　金：首都卫生发展科研专项项目(首发2020-2-4201);国家自然科学基金面上项目(81973622);国家自然科学基金青年基金项目(81803906)。

摘　　要：室壁瘤(VA)是急性心肌梗死常见并发症之一,严重影响患者预后,除手术外,临床尚缺乏针对性治疗VA的方法。本文报道中医药治疗急性心肌梗死后VA患者1例,该患者因“冠心病急性广泛前壁心肌梗死”,行急诊经皮冠脉介入术,术后心脏超声提示心尖部VA形成,伴心悸、心烦、乏力口干、入睡困难等症状。笔者结合舌象辨证为气虚血瘀、痰热扰心证,采用西药联合益气活血凉血生肌法治疗后患者症状改善,VA消失。提示益气活血凉血生肌之法治疗VA具有较好效果。本文对此中医治法进行回顾分析,探讨其理法,以期拓宽本病治疗思路,并探索中医药治疗本病的优势。Ventricular aneurysm(VA) is one of the common complications of acute myocardial infarction, which seriously affects the prognosis of patients. In addition to surgery, there is still a lack of targeted treatment of VA in clinic. This paper reports a case of VA patient treated by traditional Chinese medicine after acute myocardial infarction. The patient underwent emergency percutaneous coronary intervention due to “coronary heart disease acute extensive anterior myocardial infarction”. Postoperative cardiac ultrasound indicated the formation of apical VA, accompanied by palpitation, upset,fatigue, dry mouth, and difficulty in sleeping and other symptoms. The author combined tongue syndrome differentiation as qi deficiency and blood stasis, phlegm and heat disturbing the heart. After the treatment of western medicine combined with benefiting qi for activating blood circulation, cooling blood and generating muscle, the patient’s symptoms improved and the VA disappeared. It is suggested that the treatment of VA by benefiting qi for activating blood circulation, cooling blood and generating muscle has a better effect. In this paper, the traditional Chinese medicine treatment to review the analysis, explore its theory, in order to broaden the treatment of this disease, and explore the advantages of traditional Chinese medicine treatment of this disease.

关 键 词：室壁瘤 急性心肌梗死 益气活血 凉血生肌 血管新生 

分 类 号：R732.1[医药卫生—肿瘤]