肺炎克雷伯菌是一种常见的条件致病菌,广泛存在于人类口腔和肠道.近年来,肺炎克雷伯菌肝脓肿侵袭综合征(klebsiella pneumoniae liver abscess,KPLA)的发病率逐年升高.KPLA中医属"发热""热病""温病""风温肺热病"范畴,病因病机与伏邪致病一致,邪气深伏体内,不易尽除,病程缠绵反复,可在正气进一步受损,或复感外邪时诱发.笔者根据多年临证经验,总结出以清透伏邪为本、扶正透脓为标的KPLA治疗法则.本案患者素有消渴病,耗气伤阴,体质虚弱,加之正气不足,引动伏邪,发而为病,伏邪毒郁闭于内日久,火毒凝结,进而化脓成痈,因而呈现高热、喘逆、舌淡苔白等本虚标实之象,治疗时既使用益气养阴、升清降浊、解毒散结等清透伏邪之法,又佐以托里排脓、溃脓消痈等扶正透脓之法,取得了满意的疗效.

Objective To observe and summarize the clinical treatments of integrated traditional and western medicine in hypnotic toxicosis.Methods A retrospective survey to investigate and analyze the clinical data of 84 cases of patients suf-fered from hypnotic toxicosis in our hospital from November 201 1 to August 2014.Results In addition to conventional Western medicine treatments,we made full use of traditional Chinese medicine treatments such as use awakening consciousness and open-ing orifice against closure syndrome in prophase and restoring yang to rescue the patient from collapse against prostration;besides one patient died of respiratory failure due to severe poisoning,advanced age and delayed treatment,we successfully saved 83 cases of patients.Conclusion The clinical treatments of integrated traditional and western medicine in hypnotic toxicosis worth in widespread clinical use as a result of its significant effects and high cure rate.