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我们采用中西医结合方法治疗四肢动脉急性缺血30例,取得了满意效果,现报告如下.1 一般资料30例均为住院病人,其中男24例,女6例;年龄最大83岁,最小46岁,46～56岁11例,57～66岁8例,67～70岁5例,>71岁6例,病程最短者5h.均符合下列诊断标准:①疼痛;②肢体麻木,运动障碍;③肢体苍白、厥冷;④相应部位的动脉搏动减弱或消失.急性动脉栓塞多伴有器质性心脏病或有其它部位动脉栓塞史.中医辨证为寒凝血瘀.2 治疗方法2.1 中医疗法 温经散寒,活血化瘀.以当归四逆汤为基本方:当归20g,桂枝20g,细辛6g,川芎10g,牛膝15g,桃仁10g,红花10g,黄芪30g,水蛭10g,地龙15g.寒重加附子10g,肉桂10g;痛重加延胡索25g,五灵脂10g.水煎服,日1剂,10剂为1疗程.1疗程后统计疗效.
We use the combination of traditional Chinese and Western medicine treatment of acute limb ischemia in 30 cases, and achieved satisfactory results, are as follows.1 General information 30 cases were hospitalized patients, including 24 males and 6 females; the oldest 83 years old, the smallest 46 Aged 46 to 56 years in 11 cases, 57 to 66 years in 8 cases, 67 to 70 years in 5 cases,> 71 years in 6 cases, the shortest duration of 5h. All meet the following diagnostic criteria: ① pain; ② numbness, dyskinesia; ③ pale limbs, Juelei; ④ corresponding parts of the arterial pulse weakened or disappeared. Acute arterial embolism with organic heart disease or other parts of the history of arterial embolism. TCM differentiation of cold coagulation .2 treatment 2.1 Chinese medicine therapy temperature The Angelica Sini Decoction as the basic side: Angelica 20g, Guizhi 20g, Asarum 6g, Chuanxiong 10g, Achyranthes 15g, peach kernel 10g, saffron 10g, Astragalus 30g, leeches 10g, earthworm 15g. Cold weight plus aconite 10g, cinnamon 10g; pain weight plus corydalis 25g, Wulingzhi 10g. Shuijianbi, a day, 10 agents for a course of treatment .1 after a statistical effect.