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手術後腸阻塞之中西醫結合會診 病例報告

An Intensive Case of Post-operative Ileus Treated with Integrated Medicine

摘要


一名82歲女性入院接受膝關節置換手術,術後噁心嘔吐伴隨腹部撐硬脹痛逐漸加重,隨後因心肺功能與腎功能衰退而被轉入加護病房,持續治療三周餘消化功能與腹部症狀仍未見改善而會診中醫,予以針灸、穴位敷貼治療一周後病人可以開始逐漸嘗試進食。

關鍵字

腸阻塞 針灸 穴位敷貼

並列摘要


A 82 year-old female with osteoarthritis was admitted to hospital for right total knee replacement. After operation, she had progressive nausea, vomit and abdominal distension, then she was transferred to ICU because of cardiopulmonary and kidney function failure. Three weeks later, the poor digestive function and the symptoms of abdomen did not get better, so they decided to consult Chinese medicine for combined care. After one-week treatment of acupuncture and umbilical therapy, the patient can finally start feeding progressively.

並列關鍵字

Ileus Acupuncture Umbilical therapy

參考文獻


Jörg C Kalff , Sven Wehner & Babak Litkouhi. 2015. Postoperative ileus,Uptodate: http://www.uptodate.com/contents/postoperative-ileus?source=search_result&search=Postoperative+ileus&selectedTitle=1~43
姚乃禮主編,中醫症狀鑑別診斷學,人民衛生出版社,2000:331。
林昭庚,新編彩圖針灸學,知音出版社,2009:72。
申莉萍、管娟、丁開雲,電針加穴位注射為主治療術後早期炎性腸梗阻臨床觀察,中國針灸雜誌,2010,30(1):27-30。
Tong J. Gan, Scott B. Robinson, Gary M. Oderda et al: Impact of postsurgical opioid use and ileus on economic outcomes in gastrointestinal surgeries: Current Medical Research and Opinion, 2015, 31(4): 676-686.

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