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目的探讨土三七致肝小静脉闭塞的临床特点、治疗及护理体会。方法选取河南省中医院肝胆脾胃二区收治的土三七致肝小静脉闭塞患者1例,回顾性分析其临床资料、治疗及护理体会。结果土三七中的千里光宁、千里光非灵、全缘千里光碱等野百合生物碱,长期服用可导致肝小静脉闭塞的发生。土三七致肝小静脉闭塞患者可有腹胀、乏力、食欲减退、呕吐、肝肿大、右上腹疼痛、黄疸、腹水等临床表现,治疗上多以保肝、抗感染、利尿、补充白蛋白及对症治疗为主。结论土三七可致肝小静脉闭塞的发生,诊断应考虑全面,给予积极治疗和护理。
Objective To investigate the clinical characteristics, treatment and nursing experience of the small and middle venous occlusion of. Methods One case of hepatopancreas vein occlusion in Hepatobiliary and Spleen-Stomach Area II of Henan Provincial Hospital of Traditional Chinese Medicine was treated. The clinical data, treatment and nursing experience were retrospectively analyzed. Results Thirty-seven soil miles Guangning, Trinidad light Fuling, Trichosanthes alkaloids and other wild lily alkaloids, long-term use can lead to the occlusion of hepatic veins. Thirty-seven hepatic venular occlusion patients may have abdominal distension, fatigue, loss of appetite, vomiting, hepatomegaly, right upper quadrant pain, jaundice, ascites and other clinical manifestations, the treatment of more liver, anti-infective, diuretic, albumin And symptomatic treatment based. Conclusion Soil Sanqi can cause hepatic venular occlusion, the diagnosis should be considered comprehensive, given active treatment and care.