長期臥床患者肺炎合併腎衰竭中西醫治療思維

Long Term Bed-ridden Patients with Pneumonia and Renal Failure Treated with the Combination of Western and Traditional Chinese Medicine

洪曉嵐(Hsiao-Lan Hung) ； 邱康程(Kang-Cheng Chiu) ； 劉文欽(Wen-Chin Liou) ； 郭哲彰(Che-Chang Kuo)

《臺灣中醫科學雜誌》 4卷2期 (2010/02) Pp. 35-43

https://doi.org/10.29810/SJTTCM.201002.0005

摘要

長期臥床患者之肺炎或泌尿道感染皆可能引發全身性發炎反應而導致敗血症，敗血症若合併急性腎衰竭，很快地腎功能完全喪失，即必須接受透析治療。雖然各種抗生素不斷問世，但因肺炎而死亡的比例仍居高不下，這是因為長期臥床患者肺炎感染的細菌常常比較複雜，甚至因平日服用多種藥物，藥物間交互作用與不良反應機率也會提高。此位病患長期腎臟功能不佳，罹患肺炎後病況反覆，甚至住院治療期間腎臟功能急遽下降而須洗腎。本病案透過中醫西醫治療思惟之分析，建立一套中西醫結合治療之參考模式，希望能藉此能縮短肺炎病程，預防敗血症、腎衰竭之發生比例。

關鍵字

中西醫結合治療 ； 肺炎 ； 中藥

並列摘要

Long term bed-ridden patients with pneumonia or urinary tract infection may induce systematic infection. Systematic infection may also an important clue to sepsis. Patient with sepsis or septic shock may induce acute renal failure; a major cause for hemodialysis .Although high potency of antibiotic is used, patient with nosocomial infection may get more severe and more complicated kind of infection. Drug-to-drug interaction may be also more severe in nosocomonial infection. In this case, patient with impending renal failure who was superimposed pneumonia and got acute renal failure during admission course who had hemodialysisat last. We hoped that from this case we may set up a model for combination therapy from traditional medicine and western medicine to shorten the proportion in the course of pneumonia, sepsis and renal failure for this kind of patients.

並列關鍵字

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