中医治疗组织细胞坏死性淋巴结炎1例并文献回顾

A Case of Traditional Chinese Medicine Treatment for Tissue Cell Necrotizing Lymphadenitis and Literature Review

HNL临床表现为发热、淋巴结肿大、白细胞减少,发病机制不明,临床难以确诊,需淋巴结病理活检及免疫组织化学结果,确诊后治疗方案多以激素及对症治疗,易存在不良反应及反复发作。而中医治疗在辨证论治、改善症状减少复发方面存在独有优势,笔者导师采用纯中药治疗HNL一例,疗效良好,半年后随访未见反复。通过探讨该例报道,对比分析中医治疗HNL在临床优势。

The clinical manifestations of HNL are fever, lymph node enlargement and leukopenia, the pathogenesis is unknown, and it is difficult to diagnose clinically. Pathological biopsy and immunohistochemical results of lymph node are required. After diagnosis, hormone and symptomatic treatment are mostly used, which is prone to adverse reactions and repeated attacks. However, TCM treatment has unique advantages in syndrome differentiation, improvement of symptoms and reduction of recurrence. The author used pure Chinese medicine to treat one case of HNL, and the effect was good, and no repetition was observed after half a year of follow-up. By discussing this case report, the clinical advantages of traditional Chinese medicine in treating HNL were compared and analyzed.