摘要
通过对高血压性脑出血的治疗现状分析 ,认为对该病的救治 ,中西医、内外科各有其长处和不足 ,病死率和致残率都很高 ,而中西医结合救治初显优势 ,但其研究和治疗方法均在初始阶段 ,有必要综合中西医之所长 ,探讨一个行之有效的治疗方案。提出中西医结合、取长补短应根据患者具体情况 ,以西医的手术迅速清除血肿 ,降低颅内压 ,结合中医辨证施治缓解症状 ,减少并发症及其危害的基本思路。一般而言 ,阳闭证以清热、平肝、破瘀、涤痰、通腑、醒神法作为共同治则 ,阴闭证以益气、活血、涤痰、通络、通腑、醒神法作为共同治则 ,目的是希望在西医解除颅内压提高的基础上迅速争取时机 ,发挥中医整体论治的优势 。
Up to now, advantages and disadvantages in the treatment of hypertensive middle_ and large_amount cerebral hemorrhage (HMLCH) by western medicine or traditional Chinese medicine,or by medical treatment or surgical treatment still exist. Mortality and disablement rate remain high. Western medicine combined with Chinese herbal medicine shows better effect in treating HMLCH, but the related research is preliminary. Therefore, thoughts of establishing comprehensive therapeutic protocols for HMLCH are presented as follows. Western medicine combined with Chinese herbal medicine is the fundamental therapeutic principle. Proper surgical operation should be employed promptly to clear away hemotoma and relieve the symptoms first according to the situation of the patient, hospital and the surgeon. Clearing heat and calming the liver, removing blood stasis and phlegm, relaxing the bowels and restoring consciousness are the fundamental therapeutic methods for HMLCH with yang_excess syndrome, and reinforcing Qi and activating blood circulation, removing phlegm and dredging channels, relaxing the bowels and restoring consciousness for yin_excess syndrome. Routine treatment and symptomatic treatment also should be taken into account.
出处
《广州中医药大学学报》
CAS
2001年第1期1-7,共7页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
"九五"国家科技攻关专题!(编号 :96 - 90 6 - 0 6 - 0 2 )
关键词
高血压性脑出血
中西医结合治疗
临床方案
CEREBRAL HEMORRHAGE/TCM-WM therapy
STROKE/TCM-WM therapy
COMPREHENSIVE THERAPY
CLINICAL PROTOCOLS
