基层中医药2026，Vol.5Issue(5)：95-100,6.DOI:10.20065/j.cnki.btcm.20260100
剧烈呕吐致食管贲门黏膜撕裂综合征一例并文献复习
Mallory-Weiss Syndrome Induced by Severe Vomiting:A Case Report and Literature Review
摘要
Abstract
This paper retrospectively analyzes a case of Mallory-Weiss syndrome(MWS)induced by severe vomiting after excessive alcohol consumption,admitted to the Yangzhou Hospital of Traditional Chinese Medicine.Also,the idea of integrated traditional Chinese and Western medicine is explored in the clinical application for this disease.In traditional Chinese medicine(TCM),MWS falls into the categories such as"hematemesis syndrome"and"spitting blood".Based on syndrome differentiation,this case demonstrated Qi deficiency and blood heat,where heat damaged collateral in the stomach.Correspondingly,TCM treatment employed the methods of replenishing Qi to control bleeding,and cooling blood to harmonize the stomach.Concurrently,Western medicine interventions involved emergency endoscopic titanium clipping combined with local medicine spraying to quickly stop acute bleeding.The two therapies addressed both manifestations and root causes,exerting synergistic effects.The patient's condition improved after the integrated treatment.This paper aims to emphasize the significance of detailed medical history collection and emergency endoscopy within 24 h for patients with acute upper gastrointestinal hemorrhage.Furthermore,emergency symptomatic treatment is combined with a holistic TCM approach,providing a reference for early identification and standardized comprehensive treatment of MWS.关键词
中西医结合/食管贲门黏膜撕裂综合征/饮酒/呕吐/消化道出血Key words
integrated traditional Chinese and Western medicine/Mallory-Weiss syndrome/alcohol consumption/vomiting/gastrointestinal hemorrhage引用本文复制引用
王许晴,戴小军..剧烈呕吐致食管贲门黏膜撕裂综合征一例并文献复习[J].基层中医药,2026,5(5):95-100,6.基金项目
国家中医药管理局国家中医优势专科建设项目(国中医药医政函[2024]90号) （国中医药医政函[2024]90号）
2024年度江苏省中医药科技发展计划重点项目(ZD202426) （ZD202426）
2024年度扬州市基础研究计划(联合专项)卫生健康类重点项目(2024-1-06) （联合专项）
