重度腦幹出血性中風中醫照會治療病例報告

48歲男性患者，糖尿病病史，無規律服藥控制，105年10月17日突發肢體無力，隔日意識昏迷，西醫診斷為腦幹出血，採保守治療，於本院接受中西醫結合治療，治療三個月後，患者已可獨自行走，基本生活可自理，預後良好，故提出此病例討論，並分享黃仲諄醫師治療腦部損傷之中醫治療用藥和預後經驗，希望共同提升中醫介入早期中風疾患的機會，讓更多患者接受中西醫合作的專業照護。

關鍵字

腦幹出血；中風；中西醫結合治療

並列摘要

This was a 48-year-old male patient with past history of diabetes without regular medical treatment. He used to work in night shift without regular exercise habits. He felt sudden onset of left side limbs weakness with vomiting on Oct. 17th,2016, and was brought to our ER for help where NE present GCS:E3V2M5. He was diagnosed as brain stem hemorrhage. At the next day, consciousness level change to E1V2M4. Since the doctor decided to take conservative treatment, patient started to take Chinese medication on Oct. 22th. After treated for 2 months, he was able to walk with crutch. In our experience, integrated treatment of TCM and western medicine is very important for stroke patients. Treated with modified Wen Dan Tang to decrease inflammation products by restoring human qi circulation. Once qi circulation recovering, brain repairmen can be accelerated. We hope to share this case and our experience of staged treatment for stroke to reduce mortality and disability rate.

並列關鍵字

Brain stem hemorrhage ； stroke ； Traditional Chinese Medicine(TCM)

參考文獻

Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380:2095.

Google Scholar

Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet 2014; 383:245.