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急下存阴法治疗脓毒症急性胃肠损伤的研究进展

Journal of Clinical Medicine in Practice(2022)

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Abstract
脓毒症是重症医学的常见病,其病因复杂,病势凶险,并与脏器损伤密切关联,尤其以胃肠功能障碍为多见.急性胃肠损伤(AGI)新定义是以危重症为前提.中医学认为脓毒症属于急性热病,其主要病机是热、毒、瘀、虚,极度伤津耗气,以虚证为甚;AGI则表现为腹胀、便秘、口燥咽干,为实热证.因此,脓毒症AGI病机复杂,阴阳互损、寒热夹杂、本虚标实,根据六经辨证,此病属于少阴三急下证,治以急下存阴法.本文就急下存阴法在脓毒症AGI临床诊治中的运用及研究进展进行综述.
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