肝硬化併血小板低下及腦幹出血中西結合治療病例

這是一位52歲男性病人，素有肝硬化併血小板低下疾患，經常喝酒，89/07/27因突然失去意識並且產生抽搐現象，隨後即被送到中部某醫院急診室，經CT檢查診斷為顱內腦幹出血，且出血波及至腦室，並造成水腦症，經緊急開刀做外引流減壓手術及輸血後，因病情不穩定，於89/07/31會診中醫結合治療。息者經中西結合治療三個半月，病情獲得改善而出院。不過本病例的預後仍不樂觀，必需時時加以追蹤。因為一般肝硬化病人導致腦幹出血後復發率，約每個月增加1%，而此病人有凝血機能障礙，因此其發生率還會更高。

關鍵字

肝硬化併血小板低下；腦幹出血；中西醫結合治療

並列摘要

This was a male case of fifty-two years old with cirrhosis of the liver and thrombocytopenia. He was often drinking wine until he suffered from loss of consciousness and convulsion suddenly onset at July 27 in 2000. He was sent to emergency room of certain hospital in mid-Taiwan. CT examination was demonstrated that intracranial brain stem hemorrhage ruptured into a ventricle and produced a hydrocephalus. He received an emerged operation with intracranial decompression via external drainage. The patient consulted Chinese physician's opinion at July 31 and combined care with Chinese medication for three and one-half months in the hospital. He got an improvement of illness and discharged. But he should be usually fallowed because the prognosis was worse in this case. In general brain stem hemorrhage caused by the cirrhosis of liver, the patient was a high percentage of recurrence with an increased one percent every one month. The patient will have a more recurrent rate because he exist a disturbance of coagulator function.

並列關鍵字

cirrhosis of the liver with thrombocytopenia ； brain stern hemorrhage ； integrated treatment of Chinese and Western medicine

國際替代計量

肝硬化併血小板低下及腦幹出血中西結合治療病例

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