中医药研究论丛

264.8 肝肾症候群之中西医治疗病例报告
TJ TCM.26(4) : 91-100, 2023
DOI : 10.6516/TJTCM.202309_26(4).0008
 
肝肾症候群之中西医治疗病例报告
Integrated Treatment of Traditional Chinese Medicine and Western Medicine for Hepatorenal Syndrome: A Case Report.
洪政阳 1 郑婷宜 1,*
1 台北市立联合医院和平妇幼院区中医科
【摘要】
肝硬化後仍持续酗酒。於108年10月13日因发生噁心和吐出咖啡状呕出物 、腹胀、发烧、全身严重黄疸、下肢水肿、腹水、解黑便,故至医院急诊就诊 。住院治疗後并发肾功能恶化,西医评估疑似并发肝肾症候群,经病人要求会 诊中医治疗,在经过约两周的治疗後,肾功能明显改善,顺利出院。藉此病例 报告以提出透过中西医结合的治疗经验,供临床上叁考和运用。
【关键词】肝肾症候群、中医、肝硬化、腹水、急性肝衰竭
Cheng-Yang Hung1 Ting-Yi Cheng1,*
 1 Department of Chinese Medicine, Taipei City Hospital Heping Fuyou Branch (Heping), Taipei, Taiwan
【Summary】
This is a 47-year-old male patient. He worked in China for many years and had been diagnosed with liver cirrhosis. He did not receive regular medical treatment, and kept drinking. After he came back to Taiwan, he suffered from nausea, coffee-ground vomitus, fever, severe jaundice, leg pitting edema, ascites and melena, so he came to our hospital for emergency treatment. His renal function deteriorated during hospitalization, and hepatorenal syndrome was suspected. Then, the patient asked his doctor for Chinese medicine treatment. After nearly two weeks of treatment and follow-up, his renal function significantly ameliorated. He was discharged from our hospital. We demonstrated the experience of integrated therapy of Traditional Chinese Medicine and Western Medicine in this case report as the reference and application in clinical treatment.
Keywords
Hepatorenal syndrome; Traditional Chinese medicine; Liver cirrhosis; ascites; Acute hepatic failure