嬰兒反覆呼吸道感染繼發新冠病毒感染之病例報告

A Case Report of an Infant With Recurrent Respiratory Tract Infections Complicated by COVID-19 Infection

黃懷儒(Huai-Ju Huang) ； 林沛穎(Pei-Ying Lin)

《台灣中醫兒童暨青少年科醫學會雜誌》 4卷1期 (2024/06) Pp. 42-50

https://doi.org/10.29620/JTCMACA.202406_4(1).0005

摘要

這是一位十個月的嬰兒，過去曾經有多次急性細支氣管炎併發細菌感染、急性鼻竇炎而反覆使用抗生素的過去病史。此次就診中醫兒科主要是因為感染新型冠狀病毒，而有咳嗽合併喘鳴、流鼻涕及腹瀉等臨床症狀。相較於一般感冒，感染新冠病毒的患童除了呼吸道症狀外，另外有可能出現嗅味覺的喪失、皮疹或是其他腸胃道的表現。此病例主要探討嬰兒在過去反覆呼吸道感染之後，脾肺之氣損傷的狀況下感染新冠時疫的治療思維和治法。首先治療新冠肺炎的急性症狀，在標證痊癒的情形下，再處理因為過去反覆的呼吸道感染造成的素體肺脾氣虛的本證。

關鍵字

嬰兒外感 ； 咳嗽 ； 新冠肺炎 ； 新型冠狀病毒 ； Covid-19

並列摘要

A 10-month-old infant had a history of multiple episodes of acute bronchiolitis complicated by bacterial infections and acute sinusitis, necessitating recurrent antibiotic treatments. This visit to the traditional Chinese medicine pediatric clinic was primarily due to an infection with the novel coronavirus, presented with respiratory tract symptoms such as coughing with wheezing, rhinorrhea, and diarrhea. Compared to the common cold, children infected with the coronavirus may also experience loss of smell and taste, rashes, or other gastrointestinal manifestations in addition to respiratory tract symptoms. This case primarily explored the effectiveness of traditional Chinese medicine treatment and disease progression in infant who had suffered recurrent respiratory tract infections and subsequently developed COVID-19, with underlying damage to the qi of the spleen and lung. The initial treatment focused on alleviating the acute symptoms of COVID-19. Once the acute phase was cured, the approach addressed the underlying qi deficiency of the lungs and spleen caused by previous recurrent respiratory tract infections.

並列關鍵字

infant respiratory tract infection ； cough ； COVID-19 ； novel coronavirus ； Pediatric COVID-19