肺炎合併呼吸衰竭病例報告

Pneumonia Leading to Respiratory Failure a Case Report

蔡文廷(Wen-Ting Liao) ； 黃雅慧(Ya-Hui Huang) ； 阮膺旭(Ying-Xu Ruan) ； 許維宏(Wei-Hong Xu) ； 楊東壁(Dong-Bi Yang)

《台灣中醫臨床醫學雜誌》 11卷2期 (2005/09) Pp. 129-134

https://doi.org/10.6968/TJCCM.200506.0129

摘要

患者為76歲女性，因高血壓中風住院後發生肺炎合併呼吸衰竭，於西醫加護病房靠呼吸器維生，使用多種抗生素治療，但發燒仍然持續未退，因此家人要求會診中醫。傳統醫學對本病提供了積極的治療作用，因此提供同道參考與指教。呼吸衰竭，屬於中醫「氣脫」的範疇，其病因病機有邪熱壅盛，熱陷心包、內閉外脫，肺胃陰虛、肝腎陰虛氣脫等情況。本病例由於熱邪肺胃陰傷，痰熱壅滯，三焦氣機不利，導致呼吸衰竭，以和解少陽為主，清熱解毒、補氣養陰生津法論治，中西醫共同照護，達到病人康護出院之目的。

關鍵字

肺炎合併呼吸衰竭 ； 氣脫 ； 高血壓中風

並列摘要

Pneumonia Leading to Respiratory Failure a Case Report
A 76 year old woman was admitted to the hospital suffering from hypertension and a stroke. Shortly after entering the hospital she developed pneumonia which led to respiratory failure. She was put on respiratory support and received numerous antibiotics, but because her fever persisted, her family sought help from a Chinese medicine doctor.
Traditional Chinese medicine has provided positive results in regard to this disease, providing those who have pursued this field of study with numerous reference materials and guidance. Respiratory failure belongs to the category Chinese medicine refers to as ”qi desertion”. The etiology and pathomechanisms are that of exuberant congestion of heat evil, heat sinking into the pericardium, internal block with external collapse, lung and stomach yin vacuity, liver and kidney yin vacuity, and qi desertion.
This case history is an example of heat evil causing lung and stomach yin vacuity, phlegm heat congestion and stagnation, and inhibition of the triple burner leading to respiratory failure. Treatment aims primarily at harmonizing the lesser yang while also clearing heat and resolving toxins, supplementing qi, nourishing yin and engendering fluids.
Treatment and care were given by both Western and Chinese methods until the patient left the hospital fully recovered.

並列關鍵字

pneumonia leading to respiratory failure ； qi desertion ； hypertension ； stroke