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重症肌无力危象31例37次抢救临床调研与分析

Western Medicine and Chinese Traditional Medicine salvage myasthenia gravis 37 clinics Of dint analysis

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【作者】 刘小斌董秀娟邱向红景姗

【Author】 LIU Xiao-bin~1 DONG Xiu-juan~2 QIU Xiang-hong~2 JING Shan~3 (1 Guangzhou university of TCM, Guangdong 510405,China; 2 Piwei institution of Guangzhou university of TCM, Guangdong 510405,China; 3 Beijing university of TCM,Beijing 100029,China)

【机构】 广州中医药大学邓铁涛研究所广州中医药大学脾胃研究所北京中医药大学免疫教研室

【摘要】 目的:分析重症肌无力危象的临床特点和中西医结合抢救的疗效。方法:口服中药补中益气汤加减及时建立呼吸通道,合理选用抗菌素,纠正酸碱失衡及电解质平衡紊乱。半量应用类同醇激素和抗胆碱酯酶药物,必要时加用丙种球蛋白冲击等,及加强中医整体护理。结果:37例重症肌无力危象患者中全部抢救成功无一例死亡。结论:重症肌无力危象发生中西医结合抢救可获得较好的临床疗效。

【Abstract】 Objective:To establish an effective regimen for the treatment of myasthenia gravis crisis(MGC).Methods: Thirty-seven cases of MGC were enrolled into the study.They were given spleen-invigorating and muscle-strengthening Bu zhong yi tang decoction,which were self-prescribed,by oral administration or nasal feeding,intravenous drip of Huangqi injection and traditional Chinese nursing.The cases were also treated with western medicine such as half-dose steroid hormone, antichlinerolonergic and antibiotics.The therapeutic effect was compared with that reported in currently published literature. Results:T Thirty-seven cases of MGC were all clinically culed.Conclusion:The TCM-WM therapy is economic and effective in the treatment of MGC.

【基金】 国家重点基础研究发展计划(973计划)(No.2005CB52502)
  • 【会议录名称】 全国第七届中医药继承创新与发展研讨会文集
  • 【会议名称】全国第七届中医药继承创新与发展研讨会
  • 【会议时间】2008-11
  • 【会议地点】中国北京
  • 【分类号】R746.1
  • 【主办单位】《中华中医药杂志》编辑部
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