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[目的]观察中西医结合治疗急性重症胆总管结石的临床疗效。[方法]4例急性重症胆总管结石患者均给予常规西医治疗,采用禁食、持续胃肠减压,静脉滴注头孢类抗生素、解痉药和糖皮质激素,配合补液营养支持,纠正水电解质紊乱,在此基础上,同时口服自拟中药柴金芪黄汤,观察患者的主要临床指标、B超、CT、肝功能和平均治疗天数的变化。[结果]4例患者治疗1个疗程后,临床症状、体征消失或明显减轻,B超、CT、实验室检查指标基本恢复正常。2例痊愈,2例显效。[结论]中西医结合治疗急性重症胆总管结石可以收到显著的治疗效果,自拟柴金芪黄汤可起到疏、通、清、降、化的治疗作用。
[Objective] To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of acute severe common bile duct stones. [Method] Four patients with acute cholecystolithiasis were treated with routine Western medicine. Fasting, continuous decompression, intravenous cephalosporins, antispasmodics and glucocorticoids were given. The hydration electrolyte On the basis of this, we also orally administrated Chaiqinqihuang Decoction orally, and observed the changes of major clinical indexes, B-ultrasound, CT, liver function and the average days of treatment. [Results] After 4 courses of treatment, the clinical symptoms and signs disappeared or were obviously relieved. The indexes of B-ultrasound, CT and laboratory tests returned to normal. 2 cases recovered, 2 cases markedly. [Conclusion] Integrative Chinese and Western medicine treatment of acute cholecystolithiasis can receive significant therapeutic effect, self-made Chai Jinqi Decoction can play a sparse, pass, clear, drop, the role of the treatment.