托里消毒散联合千金苇茎汤治疗腹膜炎及腹透导管相关感染的病例分析

Tuoli Xiaodu Powder combined with Qianjin Weijing Decoction in treatment of peritonitis and peritoneal dialysis catheter-related infection:case analysis

患者行腹膜透析治疗过程中易发生腹膜炎、腹透导管相关感染,万古霉素联用头孢哌酮舒巴坦二联抗感染治疗后效果不佳,予以托里消毒散合千金苇茎汤,感染得到有效控制。患者病程迁延,正气不足,正虚邪陷,治以益气补血,清热解毒,托里排脓。选方托里消毒散合千金苇茎汤加减,及时控制患者感染情况,为临床治疗腹膜炎、腹透导管相关感染提供新的选择。

Patients are prone to present peritonitis and catheter-related infections during peritoneal dialysis treatment,and the combined treatment of vancomycin and cefoperazone sulbactam fails to achieve the satisfactory anti-infective effect,but the combined treatment of Tuoli Xiaodu Powder and Qianjin Weijing Decoction can effectively control the infection.The patient′s illness was protracted,with insufficient vital energy and the invasion of pathogenic factors,so the treatment was focused on invigorating qi and enriching blood,clearing heat and detoxifying,and removing abscesses.Tuoli Xiaodu Powder combined with Qianjin Weijing Decoction with modifications can timely control the patient′s infection and provide a new option for clinical treatment of peritonitis and catheter-related infections.