托里消毒散联合千金苇茎汤治疗腹膜炎及腹透导管相关感染的病例分析  

Tuoli Xiaodu Powder combined with Qianjin Weijing Decoction in treatment of peritonitis and peritoneal dialysis catheter-related infection:case analysis

作　　者：金叶 仲昱[2] JIN Ye;ZHONG Yu(Department of Pharmacy,Yangzhou Hospital of Traditional Chinese Medicine,Yangzhou,Jiangsu,225000;Department of Nephrology,Jiangsu Provincial Hospital of Chinese Medicine,Nanjing,Jiangsu,210000)

机构地区：[1]江苏省扬州市中医院药学部,江苏扬州225100 [2]江苏省中医院肾内科,江苏南京210000

出　　处：《实用临床医药杂志》2024年第8期61-63,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省中医药管理局中医药科技发展计划重点项目(ZD202205);第四批全国优秀中医(临床、基础)人才研修项目(国中医药人教发[2017]24号)。

摘　　要：患者行腹膜透析治疗过程中易发生腹膜炎、腹透导管相关感染,万古霉素联用头孢哌酮舒巴坦二联抗感染治疗后效果不佳,予以托里消毒散合千金苇茎汤,感染得到有效控制。患者病程迁延,正气不足,正虚邪陷,治以益气补血,清热解毒,托里排脓。选方托里消毒散合千金苇茎汤加减,及时控制患者感染情况,为临床治疗腹膜炎、腹透导管相关感染提供新的选择。Patients are prone to present peritonitis and catheter-related infections during peritoneal dialysis treatment,and the combined treatment of vancomycin and cefoperazone sulbactam fails to achieve the satisfactory anti-infective effect,but the combined treatment of Tuoli Xiaodu Powder and Qianjin Weijing Decoction can effectively control the infection.The patient′s illness was protracted,with insufficient vital energy and the invasion of pathogenic factors,so the treatment was focused on invigorating qi and enriching blood,clearing heat and detoxifying,and removing abscesses.Tuoli Xiaodu Powder combined with Qianjin Weijing Decoction with modifications can timely control the patient′s infection and provide a new option for clinical treatment of peritonitis and catheter-related infections.

关 键 词：托里消毒散 千金苇茎汤 腹膜炎 腹膜透析导管 感染 

分 类 号：R572[医药卫生—消化系统] R289.1[医药卫生—内科学] R249.8[医药卫生—临床医学]