敗血性休克中西結合治療病例報告

本病例75歲的女性患者，多器官疾病，素有糖尿病、高血壓，心房顫動，腦中風開顱手術後併發呼吸衰竭，因住院期間肺炎併發敗血性休克，轉入加護病房急救。西醫治療以給輸液及使用強心、升壓藥物及抗生素控制感染為主；中醫治療休克首重生命徵象的穩定，尤其在西醫搶救休克期間，除了抗休克用藥外，一切治療必需暫時停止，待生命徵象穩定後，始可進行疾病的辨證治療。本病例中醫會診時，病勢發展已至熱毒內陷心營，命門無根，精神失守，證見意識不清，眼神渙散，治療以生脈散強心、抗休克，經中西醫結合治療第三天，患者生命徵象穩定，血壓回升正常，直到病人出院時，患者肺炎亦明顯改善。

關鍵字

呼吸衰竭；肺炎；敗血性休克；生脈散

並列摘要

The case was a 75 years old female patient with multiple organ disease included diabetes mellitus, hypertension, atrial fibrillation, stroke craniotomy complicated respiratory failure. Pneumonia with septic shock was attacked during the hospitalization, so she was transferred to intensive care unit resuscitation. The western medicine was applied intravein fluid, digoxin, levophed and antibiotic treatment. The principle treatment of Chinese Medicine was at first appreciated vital sign stable, especially in the duration of shock treatment. The medicinal use except anti -shock herbs any therapy should be stop until vital sign stable, and then may be identify patterns and administer treatment.The case illness at intervention of Chinese Medicine had been developed heat-toxin entering the pericardium and the construction aspect. The pulse of life gate was free root. The spirit was loss of essence energy. So the symptoms of consciousness unclear and the eyes spirit disturbance were present. The patient was administered decoction of Sheng-mai san promoted heart contraction and anti-shock.The 3rd day integrated medicine, the patient vital sign was stable and blood pressure was elevated normal range until to discharge. The pneumonia was also obviously improved.

並列關鍵字

Respiratory failure ； Pneumonia ； Septic shock ； Sheng-mai san

國際替代計量

敗血性休克中西結合治療病例報告

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