地黄痈

　　1발병 원인

　　지방색소질 대장염은壤이성 지방색소질 대장염이나 지방색소질 주위 지방이 점막성壤이, 녹화가 발생하고 감염으로 인해 형성된 것으로,壤이는細균 성장의 이상적인 장소이며, 점액이 지방색소질 내나 주위에 축적되고, 점액 내에 점막壤이 조직이 적게나 없이 포함되며, 외에도 섬유조직으로 둘러싸여 있습니다.

　　2발병 기제

　　감염과 점액종의 차이를 명확히하기 위해 Rainer Isenmann 등이 지방색소질 대장염과 지방색소질 대장壤이를 구별하였습니다.1982～1993년에1300例 지방색소질 대장염 환자가 입원하였으며,31例(2.4％)는 하나 이상의 점액종이 있으며, 지방색소질 대장염은77例(5.9％) 또한 임상 데이터에 따르면 알코올성 지방색소질 대장염과 점액종之间存在 낮은 관련성이 있으며, 수술 후 또는 지방색소질 대장 손상 후에는 높은 위험성이 있습니다.

　　1横结肠穿孔：하위 식도 출혈은 지방색소질 대장염의 심각한 합병증 중 하나로, 병변의 급성기에 많이 발생하며, 그 발전 과정은 지방색소질 대장염 또는 가상 지방색소질 대장염이 두 번째로 감염되고 출혈을 일으키며, 결국 대장坏疽, 궤도 뚫림으로 이어집니다. 그 사망률은60％이상, 궤도가 뚫린 경우85％은 대장 or 간장결절에서 발생합니다.

　　2腹腔内大出血：혈관을 침식하여 혈소판이 형성된 것으로, such as splenic artery, left gastric artery, or gastroduodenal artery, superior mesenteric vein, etc.

　　3腹腔多发瘻： due to the spread of pancreas abscess retroperitoneally to both sides, upwards to the diaphragm below, still to the mediastinum, downwards along the paracolic sulcus or below the psoas muscle to the inguinal ligament.

　　4并发瘻： twelve finger loop, jejunum fistula, stomach fistula, pancreas fistula 등.

　　5기타:위 배출 지연; 당뇨병.

　　1병 발 전2～3주기적으로 중증의 지방색소질 대장염의 이력이 있습니다.

　　2고열이 빠르게 낮아지지 않으며,冷战이 있을 수 있으며, 지속적인 상腹痛과 왼쪽 요추와 등의 통증이 있으며,黄疸 등의 증상이 있을 수 있습니다.

　　3Commonly palpable a cystic mass in the upper left quadrant of the abdomen, fixed and not movable, smooth surface, fluctuating, with marked tenderness.

　　4Laboratory examination: blood leukocyte count significantly increased. Blood and urine amylase persistently increased.

　　5X-ray abdominal examination: the plain film can show the shadow of the liquid plane in the pancreatic department. Barium meal imaging shows the dilatation of the duodenal flexure, displacement and defect of the stomach, duodenum, or transverse colon due to external cystic compression.

　　6B-ultrasound examination can determine the mass as cystic.

　　Actively treat biliary tract diseases, quit smoking and avoid overeating and drinking. For infectious diseases, strengthen the treatment of antibiotics. This disease is a complication that occurs after acute pancreatitis or pancreatic injury. Therefore, the key to preventing this disease is to make an early diagnosis of acute pancreatitis or pancreatic injury and make a timely and correct treatment, to avoid the further development of acute pancreatitis and pancreatic injury into pancreatic abscess.

        Pancreatic abscess should be diagnosed by the following examinations. Serum carcinoembryonic antigen, abdominal plain film, gastroscopy, trypsin, pancreatic disease ultrasonic diagnosis, CT examination of the pancreas, pancreatic palpation.

　　1Diet should be simple and light, easy to digest. Eat more mung bean sprouts, watermelon rind, chrysanthemum brain, old wheat flour, and other cool foods. At the same time, eat egg flower soup, pork liver soup, lotus root powder, mung bean porridge, and other nutritious foods. Drink plenty of water and herbal tea during high fever.

　　2Avoid eating fishy, spicy and刺激性 food, as well as sweet and greasy food, such as scallions, chives, celery, chili, fish and shrimp, tobacco and alcohol, etc.

　　1、Zhong jiao shi re zheng:Left upper quadrant persistent pain that is resistant to pressure, palpable enlarged mass, high fever that does not subside, thirst for drinking, nausea and vomiting, constipation, short yellow urine, red tongue with yellow greasy coating, deep and full or wiry and rapid pulse. Clear heat and detoxify, bitter and cold to relieve constipation.

　　2、Re sheng nang xun zheng:Left upper quadrant persistent pain that is resistant to pressure, palpable fluctuating cystic mass, local burning sensation, fever, thirst, red tongue with yellow greasy or rotten coating, wiry and slippery pulse. Clear heat and expel pus.

　　3、Zhengxu xie lian zheng:left upper quadrant pain that is resistant to pressure, fever that does not subside, or night heat and early coolness, restlessness of the five interiors, decreased appetite, fatigue, emaciation, spontaneous sweating or night sweats, red tongue with little coating, thready and weak pulse. Tonify Qi and nourish Yin, clear heat and detoxify.