針灸治療主動脈剝離合併缺血性腦中風之病案報告一例

Case Report of Acupuncture Treatment for Aortic Dissection with Cerebral Infarction

曾子寧(Tseng, Tzu-ning) ； 阮膺旭(Juan Ying-Hsu)

《中華針灸醫學會雜誌》 26卷1-2期 (2023/06) Pp. 21-31

摘要

本案例是一位60歲女性，因A型主動脈剝離至本院急診行緊急手術治療，術後轉入外科加護病房觀察，術後三日出現雙側大腦及小腦多發性急性梗塞，伴隨左額葉出血性轉化，告知患者家屬植物人可能性，並照會中醫科協助治療。中醫會診後予以針刺穴位百會、神庭、印堂、足三里，治療一個半月後，GCS由E1VEM4進展至E4V1M4，上下肢肌力評估由一分至三分，順利出院至長照中心。藉由此案例分享針灸治療主動脈剝離術後合併缺血性腦中風之療效，以期提供同道治療參考。

關鍵字

主動脈剝離 ； 缺血性腦中風 ； 針灸

並列摘要

This is a 60-year-old female who underwent urgent surgical treatment for Stanford type A aortic dissection at our emergency department. She was transferred to the Surgical Intensive Care Unit (SICU) for postoperative observation. Three days after the surgery, she presented with bilateral cerebral and cerebellar multiple acute infarctions with left frontal lobe hemorrhagic transformation. The patient's family was informed about the potential for a vegetative state. Therefore, consultation with the Traditional Chinese Medicine (TCM) department was arranged. Acupuncture was administered at specific acupoints, including Baihui, Shenting, Yintang, and Zusanli. After a treatment period of one and a half months, the patient's Glasgow Coma Scale (GCS) progressed from E1VEM4 to E4V1M4, and muscle power improved from grade one to grade three. She was discharged smoothly to a long-term care center. This case study aims to share the therapeutic efficacy of acupuncture in addressing the combined complications of post-aortic dissection surgery and ischemic stroke, with the intention of providing valuable reference for fellow practitioners.

並列關鍵字

aortic dissection ； cerebral infarction ； acupuncture

參考文獻

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