急性胰腺炎中医临床路径（Clinical pathway of acute pancreatitis in traditional Chinese Medicine）.doc

急性胰腺炎中医临床路径（Clinical pathway of acute pancreatitis in traditional Chinese Medicine） Clinical pathway of acute pancreatitis in traditional Chinese Medicine First, the clinical pathway standard process of acute pancreatitis (1) applicable objects The first diagnosis was acute pancreatitis (two) diagnosis basis 1, western medicine diagnosis: according to clinical guidelines for the diagnosis and treatment of diseases of the digestive system - section (edited by the Chinese Medical Association, peoples Medical Publishing House); Practical Medicine (Twelfth Edition) (edited by Fudan University School of medicine, peoples Medical Publishing House), practical gastroenterology (Beijing science and Technology Press) (1) main symptoms: abdominal pain, nausea, vomiting, fever, jaundice, shock, water and electrolyte disorders. (2): signs of fever, abdominal tenderness, can back waist and shoulders a beam of radiation, lorate, edematous abdominal tenderness is not obvious, no abdominal muscle tension, some patients have pain. The bleeding and necrosis type abdominal muscles are tense, and there is obvious tenderness and rebound pain. (3) laboratory examination: blood routine, blood and urine amylase, C reactive protein, blood biochemistry, interleukin -6 (4) auxiliary examination: B ultrasonic examination and CT examination. 2, on the basis of TCM diagnosis of the disease: multi resolution blood of hematemesis, hematochezia, common syndrome type Hou as follows: 1), Hanxie inner pain potential irritable, warm cold, thin stool, limbs cold, pale tongue, white lip, tight pulse. 2), Spleen Yang lingering abdominal pain when time, pain and joy, thin stool, lassitude and fear of cold, thin white fur and thready pulse. 3), food stagnation flatulence, pain refused to press, Akujiki, AI rot Tunsuan, or abdominal pain for pain reduction after discharge, discharge, greasy fur, slippery pulse. (three) selection and basis of treatment plan 1, western medicine treatment options: refer to pract