CHINAMEDICINEANDPHARMACYVol.13No.2January20231972023年1月第13卷第2期·病例报告·中西医结合治疗脓毒症急性肠功能损伤1例刘春慧1△贾璇1梁群2▲1.黑龙江中医药大学，黑龙江哈尔滨150040；2.黑龙江中医药大学附属第一医院急诊、重症医学科，黑龙江哈尔滨150040[摘要]脓毒症是由感染引起宿主免疫失调而导致脏器功能衰竭的全身炎症反应综合征，亦是引发多器官功能障碍综合征的最主要原因。肠道是脓毒症期间最早出现损伤的器官，而肠功能损伤也是脓毒症最严重的并发症之一。本案患者因肠道重度感染造成脓毒症休克，为临床急危重症，单纯应用常规西医液体复苏纠正休克、维持血压、抗感染、抗炎症反应、抑酸保护胃黏膜、营养支持等一系列对症治疗，同时给予纠正酸中毒、抗心律失常常规治疗，效果不佳。辨证施以不同经典中药复方汤剂服用、灌肠后，腹胀、腹痛、高热、气促等症状缓解，腹围明显减少，肠鸣音逐渐恢复，为中西医结合治疗急危重病—脓毒症相关肠功能损伤提供了一个新的临床依据。[关键词]脓毒症；肠功能损伤；中西医结合；医案[中图分类号]R278[文献标识码]A[文章编号]2095-0616（2023）02-0197-04AcaseofacutegastrointestinalinjuryrelatedtosepsistreatedwithintegratedtraditionalChineseandWesternmedicineLIUChunhui1JIAXuan1LIANGQun21.HeilongjiangUniversityofChineseMedicine,Heilongjiang,Harbin150040,China;2.DepartmentofEmergencyandCriticalCareMedicine,theFirstAffiliatedHospitalofHeilongjiangUniversityofChineseMedicine,Heilongjiang,Harbin150040,China[Abstract]Sepsisisasystemicinflammatoryresponsesyndromeoforganfailurecausedbyhostimmunedysfunctionduetoinfection.Itisalsothemaincauseofmultipleorgandysfunctionsyndrome.Gastrointestinaltractistheorganwiththeearliestdamageduringsepsis,andgastrointestinalinjuryisoneofthemostseriouscomplicationsofsepsis.Thepatientinthismedicalrecorddevelopedsepticshockcausedbyseveregastrointestinalinfection,whichisanemergencyandcriticallyillcase.ConventionalWesternmedicinewasusedalone:fluidresuscitationtocorrecttheshock,bloodpressuremaintenance,anti-infection,anti-inflammatoryresponse,acidsecretioninhibitiontoprotectgastricmucosa,aseriesofsymptomatictreatmentssuchasnutritionalsupport,andconcurrentacidosiscorrectionanda...
