中西醫結合治療長期臥床患者之肺炎病例報告

Bed-ridden Patients with Pneumonia Treated with the Combination of Western and Traditional Chinese Medicine-Case Report

洪曉嵐(Hsiao-Lan Hung) ； 郭哲彰(Che-Chang Kuo)

《臺灣中醫科學雜誌》 4卷1期 (2009/08) Pp. 36-43

https://doi.org/10.29810/SJTTCM.200908.0005

摘要

肺炎常見於長期臥床患者，長期臥床患者多為老年人，抵抗力相對較差，致病菌易乘虛而入；且平躺時胸廓的擴張不易，易造成肺擴張不全、氧之攝入量減少，加之肌力減弱，無法作深呼吸及有效咳嗽，皆使得痰液積聚於支氣管，增加肺部感染的危險性。雖然各種抗生素不斷問世，但長期臥床的老年人因肺炎而死亡的比例仍居高不下。本例患者以中西醫結合治療，不但療效顯著可縮短病程，且無其他併發症發生，進而降低肺炎死亡率。

關鍵字

中西醫結合治療 ； 肺炎 ； 中藥

並列摘要

Pneumonia patients tend to be bed-ridden, tend to be amongst the elderly. Their immune systems are usually poor and therefore they are susceptible to opportunistic infections. When the patient assumes a supine position, they often find it difficult to breath because their lungs are unable to their full capacity. This subsequently leads to decreased oxygen intake and muscle weakness, and because of this muscle weakness, the patient is unable to take a deep breath and effectively cough up sputum. The sputum remains trapped in the bronchioles which makes it easier for an opportunistic infection to occur. Thusly, thus is predominantly why the elderly are susceptible to pneumonia. As a result of pneumonia, the mortality of the elderly remain quite high. In this case, the patient was treated with combination of western and traditional Chinese medicine. We can find the remarkably curative effect without other complication and mortality rate of pneumonia decreased.

並列關鍵字

Treated with the Combination of Western and Traditional Chinese Medicine ； Pneumonia ； Herbs