服用中药马鞭草后引起缺血性肠病2 例  

Treating 2 cases of ischemic bowel disease caused by taking Mabiancao

作　　者：余安丽 薛凤姣 李啸天[3] 陈艳敏[3] YU Anli

机构地区：[1]云南中医药大学,云南昆明650000 [2]云南省昆明市石林彝族自治县人民医院,云南昆明652200 [3]云南省第一人民医院,云南昆明650000

出　　处：《中医临床研究》2024年第11期110-113,共4页Clinical Journal Of Chinese Medicine

摘　　要：马鞭草药物毒性较低,不溶于血,临床使用马鞭草治疗相关疾病时对马鞭草常用临床剂量的概念较为模糊,因此常因使用过量而引起腹痛、黑便等胃肠道不适,其临床症状不典型,需要排除相关疾病后方可确诊,因此经常导致误诊的发生,延误患者的病情,导致不良预后。缺血性肠病是由于肠壁缺血、缺氧损害以及肠管供血不足所引起的一类肠道缺血性疾病,多发于老年女性,病程较急,临床表现无特异性,多以腹痛、便血为主,因此早期诊断较为困难。近年来,由于糖尿病、高血压病等慢性基础疾病的患病率增加以及人口老龄化,缺血性肠病的发病率逐年上升。目前,临床上无相关文献报道服用马鞭草引起缺血性肠病的案例,现报告临床收治的2例类似病例,根据患者的病史、症状及相关实验室检查予诊断性治疗,治疗上主要予补液、抗炎、维持电解质平衡等,治疗后患者的腹痛、黑便症状均较入院前好转,获得良好的预后,从而提示消化科医生需警惕服用马鞭草引起缺血性肠病的可能性,希望有助于广大临床医生对本病的认识,提高患者的生存率。abiancao(Herba Verbenae)has low toxicity and is insoluble in blood.In the clinical use of Mabiancao in the treatment of related diseases,the concept of the common clinical dose of Mabiancao is relatively vague.Therefore,abdominal pain,black stool and other gastrointestinal discomfort symptoms are often caused by excessive drug use,which delays the patient’s condition,resulting in a poor prognosis.Ischemic bowel disease is a kind of intestinal ischemic disease caused by intestinal wall ischemia,hypoxia damage,and insufficient intestinal blood supply.It mainly occurs in elderly women.The course of the disease is rapid,the clinical manifestations are non-specific,and the main symptoms are abdominal pain and blood in the stool,so it is difficult to diagnose early.In recent years,due to the increasing prevalence of chronic underlying diseases such as diabetes and hypertension,as well as the aging of the population,the incidence of ischemic bowel disease is increasing year by year.At present,there is no relevant clinical literature to report the case of ischemic bowel disease caused by taking Mabiancao.Two similar clinical cases are reported now.According to the patient’s history,symptoms and related laboratory tests of disease,diagnostic treatment was given to the patients,including fluid rehydration,anti-inflammatory treatment,and electrolyte balance maintenance.After treatment,the symptoms of abdominal pain and black stool were ameliorated compared with admission,and a good prognosis is obtained,which suggests that gastroenterologists should be vigilant about the possibility of ischemic bowel disease caused by taking Mabiancao,hoping to improve the understanding of the majority of clinicians on this disease and the survival rate of patients.

关 键 词：缺血性肠病 病历摘要 马鞭草 

分 类 号：R155.32[医药卫生—营养与食品卫生学]