摘要
脓毒症是由感染引起的全身炎症反应综合征,近50%的脓毒症患者出现不同程度的心肌抑制,具有较高的病死率。根据中医理论可将脓毒症分为热证、瘀证和虚证,与之对应的治疗方法为清热解毒法、活血化瘀法和扶正固本法,三种治疗方法可通过多途径、多靶点协同作用于心脏,可防止脓毒症所致心肌抑制的发生、发展,在一定程度上降低了脓毒症的病死率。同时应注意"三证"既可独立存在,又可相互转化及共存,对于不同患者的不同时期采用"三法"之时应及时辨证,以期达到最好的治疗效果。
Sepsis is a systemic inflammatory response syndrome caused by infection.Nearly 50% of sepsis patients have varying degrees of myocardial depression,resulting in a high fatality.According to the theory of traditional Chinese medicine,sepsis is divided into heat syndrome,blood stasis syndrome,and deficiency syndrome.The corresponding treatments are ＂ clearing heat and detoxicating＂ method,＂ promoting blood circulation and removing blood stasis＂ method,and ＂ strengthening the body resistance ＂ method,respectively.The three treatments treat sepsis by multi-channel and multi-target synergistic effect on heart,preventing the occurrence and development of myocardial depression,and reducing the sepsis mortality.The ＂ three syndromes＂ can exist independently,and can also be transformed into each other and coexist in different periods for different patients using ＂ three treatments＂ should be timely dialectical,in order to achieve the best therapeutic effect.
出处
《医学综述》
2013年第15期2775-2777,共3页
Medical Recapitulate
关键词
脓毒症
心肌抑制
三证三法
辨证
Sepsis
Myocardial depression
Three syndrome patterns and three treatments
Dialectics
