脓毒症患者毛细血管渗漏综合征从“痰饮”论治探微

Treatment of capillary leak syndrome with a view of phlegm in TCM

毛细血管渗漏综合征是目前脓毒症患者常见合并症,主要表现为低蛋白血症、全身水肿、循环容量不足甚至休克、多脏器功能衰竭等。现代医学治疗主要以液体管理、治疗原发病、抗炎等方法。本文通过复习中医文献,结合现代药理研究探讨本病的中医病机和治则、方药,并附典型病例一则进行分析总结。从"痰饮"论治毛细血管渗漏综合征治疗可从脾肾阳虚、饮邪内阻、血不利则为水三方面病机入手,采用温阳、攻下、活血的治则选方用药。

Capillary Leak Syndrome is a common complication in patients with sepsis, manifested as hypoalbuminemia, edema, insufficient circulatory capacity and even shock and multiple organ failure. Modern medical treatment consists mainly of fluid management, treatment of the primary disease, anti-inflammatory treatment. It can be understood that the TCM pathogenesis of Capillary Leak Syndrome is Yang Qi deficiency of the spleen and kiney, phlegm obstructing Qi Ji and the blood stasis. Thous the treatment principle should be nourishing the Yang Qi of spleen and kiney, eliminating phlegm, activating blood and resolving blood stasis.