橋腦缺血性中風之中醫急症病例報告

本病例為一位76歲的男性患者，有胃食道逆流疾病、糖尿病、高血脂症、冠狀動脈疾患、前列腺增生症病史，107／12／07清晨在家中嚴重頭暈，嘔吐涎沫3次後，右側肢體無力伴隨語言不清，至本院急診就醫，斷層掃描影像無明顯變化，因病患符合「中醫急症處置試辦計畫」之收案條件，而會診中醫，此病患在急診接受針灸治療，旋即收進中重度病房，仍繼續會診中醫治療，經中藥及針灸治療後，病患半側偏癱及飲食嗆咳等症狀均獲得進步。因急診中風會診中醫的臨床報告並不多，故以此病例報告提出治療經驗，供臨床醫師參考及運用。

關鍵字

缺血性中風；橋腦；針灸；中醫；全民健康保險中醫急症處置計畫

並列摘要

This is a case of 76-year-old male, suffering from gastroesophageal reflux, diabetes, hyperlipidemia, coronary artery disease and benign prostatic hyperplasia, exhibiting severe dizziness, vomiting stick saliva 3 times in the morning, and right side limb paralysis with blurred speech on 107/12/07. The patient was brought to our emergency room (ER), and the simultaneous CT image showed no significant change. Because the patient was fit for the requirements of National Health Insurance Pilot Project of Emergency Treatment in Traditional Chinese Medicine (TCM), he received a TCM consultation. After receiving acupunctural treatment, he was transferred to moderate and severe ward and received TCM consultation and treatment continuously. With Chinese herbs and acupuncture treatment, his symptoms of hemiplegia and choking were improved. Because there are few reports on TCM consultation on stroke patients in ER, we presented our treatment experience of this case to provide a useful reference for clinical doctors.