急性肝内胆汁淤积症的中西医结合治疗

Treatment of Acute Intrahepatic Cholestasis with the Method of Integrated Traditonal and Western Medicine

急性肝内胆汁淤积症（ＡＩＣ）不仅临床少见，而且诊断和治疗方面都比较困难。本文介绍了用中西医结合方法治疗６例ＡＩＣ的临床结果。本组病例的诱发因素以胆系感染为主（４／６），与以往的报道明显不同。本组疗法中突出了中药的疏肝利胆和活血化瘀两方面的作用，结果使黄疸明显消退时间仅用１０天，完全消退时间仅为２４～９０天（平均４６．５天）。这一结果明显优于目前已知的西医疗法。

Acute intrahepatic cholestasis(AIC)is not often seen in clinic and is difficultly diagnosed and treated.6 cases of AIC were treated with the method of integrated traditional and wes tern medicine.The inducing factor of the group was mainly the infections of the biliary system(4/6),which was quite different from that reported before.The actions of blood activating and stasis dispersing and of dispersing heat of the liver and gallbladder and regulating their vital energy played a very important role in the integrated method,so that the obvious decline time of the jaundice was only 10 days,and the total decline time of jaundice was from 24～90 days(mean:46.5days),which were apparently shorter than those with western medicine only.The mechanism of AIC and the diagnostic standards of the surgical diseases were also discussed.