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1 临床资料 共7例,男3例,女4例;年龄60～79岁3例,80～84岁4例;平均年龄为77.1岁。全部患者均符合《临床胃肠病学》急性胰腺炎重症型诊断标准。2 治疗方法 禁食,胃肠减压,输液,胃肠外营养支持,维持水电解质平衡及酸碱平衡,吸氧,常规使用抗生素。 中药采用生大黄粉3g加温开水100ml从胃管注入,每d2次;生大黄30g煎汤300ml高位保留灌肠,每d2次;并用中药汤剂,治则为通里攻下,清热解毒,佐以活血理气。方用小承气汤合黄连解毒汤加减、生大黄30g(后下)、枳实15g、川朴10g、黄芩10g、黄连5g、栀子10g、蒲公英30g、赤芍10g、丹皮10g、延胡索20g、广郁金10g,水
A total of 7 cases of clinical data, 3 males and 4 females; aged 60 to 79 in 3 cases, 80 to 84 years in 4 cases; the average age was 77.1 years. All patients were in line with “clinical gastroenterology” severe acute pancreatitis diagnostic criteria. 2 treatment fasting, gastrointestinal decompression, infusion, parenteral nutrition support, maintain water and electrolyte balance and acid-base balance, oxygen, routine use of antibiotics. Herbal medicine using rhubarb powder 3g warm water 100ml injected from the stomach tube every d2 times; rhubarb 30g decoction 300ml high retention enema, d2 times each; and with Chinese medicine decoction, the rule is Tongli attack, heat detoxification, To qi and blood. Side with Xiao Cheng Tang Huanglian Jiedu Decoction, raw rhubarb 30g (later), citrus aurantium 15g, Chuan Pu 10g, skullcap 10g, berberine 5g, gardenia 10g, dandelion 30g, red peony 10g, Dan leather 10g, corydalis 20g, Guangyu gold 10g, water