腦外傷綜合症中醫治療病歷報告

TCM Treatment on Traumatic Brain Injury Syndrome: A Case Study

陳萍和(Ping-Ho Chen)

《台灣中醫臨床醫學雜誌》 16卷3期 (2010/09) Pp. 174-179

https://doi.org/10.6968/TJCCM.201009.0174

摘要

因交通意外事故致傷的患者越來越多，顱腦外傷已成爲急診中的常見病，且致死率高，即使生存下來，也有不少患者遺留不同程度的功能障礙。腦外傷綜合症(Post Concussional Syndrome)是顱腦外傷病人病情穩定後，恢復期出現的一組以頭昏頭痛及不同程度的自律神經功能失調，或精神性症狀爲主的症候群。其特點是經久不愈，持續致受傷後三個月以上仍無好轉，神經系統檢查無確切陽性、CT、MRI等檢查無異常發現，其臨床表現複雜而多樣，主要爲頭痛、語言障礙、口眼歪斜、耳鳴、記憶力下降、失眠、多夢、煩躁易怒、情緒不穩等腦功能障礙、自律神經功能紊亂以及心理障礙等症狀。本文提出一病例報告，在中醫辨證基礎上，針藥並用改善腦外傷綜合症，縮短病程提早復原。

關鍵字

腦外傷綜合症 ； 中醫治療

並列摘要

Traumatic brain injury is a common problem with high mortality rate in ER these days due to increasing motor vehicle accidents. Patients often left with different degrees of motor impairment after survival. Post Concussional Syndrome is a series of symptoms including dizziness, headache, autonomic nerve dysfunction, or mental problems appeared during recovery stage. It is a chronic syndrome with characteristics of minimal improvement 3 months after injury, no positive sign on nerve system exam, normal signs on CT, MRI, and complex signs such as headache, language difficulties, deviated mouth and eye, tinnitus, impaired memory, dreams, agitated and moody, autonomic nerve dysfunction and mental problem. This article provides one case report in using acupuncture and herbal medicine based on TCM theory to improve Post Concussional Syndrome and shorten healing time.

並列關鍵字

Post Concussional Syndrom ； acupuncture