腦缺氧昏迷併發熱之中醫會診病例報告

Traditional Chinese Medicine Consultation on Hypoxic Coma with Fever: A Case Report

邱碧瑩(Bi-Ying Chiu) ； 郭世芳(Shih-Fang Kuo) ； 許堯敛(Yao-Chin Hsu)

《台灣中醫臨床醫學雜誌》 16卷2期 (2010/06) Pp. 96-105

https://doi.org/10.6968/TJCCM.201006.0096

摘要

本案例是一位45歲女性患者，因心臟驟停併發缺氧性腦病，住院期間除了意識不清、癲癇發作、呼吸衰竭、不穩定的血液動力學外，亦併發持續不明原因高熱難退，西醫使用抗生素、退燒藥治療效果不彰。會診中醫後使用安宮牛黃丸治其痰熱擾心，竅閉神昏之症，患者高熱漸退，後續更輔以中藥併針灸治療，終於成功脫離呼吸器，神智逐漸清醒：昏迷指數入院時GCS:E1VeM4，出院時爲E4V2M6，此爲中西醫結合治療腦缺氧昏迷併發熱之有效案例。

關鍵字

缺氧性腦病 ； 高熱 ； 安宮牛黃丸 ； 中醫

並列摘要

This is a 45-year-old female who suffered from hypoxic coma as a side effect of heart attack. During hospitalization, her symptoms were lost of consciousness, seizure, respiratory failure, unstable hemakinetics and high, unsettled fever with no specific reason. Antibiotic was used with no significant improvement. After consultation, TCM doctors prescribed An Gong Niu Huang Wa for her patterns of phlegm and heat disturbing the heart, closed orifices and coma. The patient's fever started to subside. Acupuncture treatment was introduced later, and the patient was off respirator and started to wake up after that. GCS at the beginning of hospitalization was E1VeM4, and it was E4V2M6 when she was discharged. This is a fairly successful case of treating hypoxic coma with fever by integrating Chinese and Western medicine.

並列關鍵字

hypoxic coma ； high fever ； an gong niu huang wan ； traditional Chinese medicine