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中西合治外傷性瀰漫軸突損傷-病例報告並文獻探討

Integrated Chinese and Western Medicine Treatment in Traumatic Diffuse Axonal Injury-A Case Report and Literature Reviews

摘要


20歲男性患者因車禍導致昏迷,送院後因遲發性顱內出血造成意識狀態惡化入住加護病房治療,後磁振造影檢查合併瀰漫性軸突損傷。患者於傷後第七天開始會診中醫,初以清熱平肝熄風為治,後轉滋陰潛陽熄風,病況穩定後加入針灸治療。患者於創傷後約3個月昏迷指數回復滿分,隔年順利復學。

並列摘要


A 20-year-old male suffered from loss of consciousness due to traffic accident and exacerbated with admission to intensive care unit due to delayed hemorrhage. Following Magnetic Resonance Imaging (MRI) scan revealed diffuse axonal injury. The patient started Chinese herbal treatment at the 7th day of admission as well as acupuncture treatment after his condition became stable. He was completely awake about 3 months after the trauma, and restarted his school study the next year.

參考文獻


鄧允武、刁偉民、謝盛林、張亮霖(2012)。瀰漫性軸突損傷。台灣急診專科醫師期刊。4,109-110。
張行遠,陳震宇,李超群,陳復華,周定遠(1992).Computed Tomographic Appearance of Cerebral Diffuse Axonal Injury.中華放射線醫學雜誌.17,207-214.
Chelly, H,Chaari, A,Daoud, E(2011).Diffuse axonal injury in patients with head injuries: an epidemiologic and prognosis study of 124 cases.J Trauma.71,838-46.
Giustini, Alessandro,Pistarini, Caterina,Pisoni, Camilla(2013).Handbook of Clinical Neurology.Elsevier B.V..
楊維傑編譯(2007)。黃帝內經素問譯解。台北:志遠書局。

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