中醫幫助住院病人脫離呼吸器之會診病例報告

Chen-kuang Chung; Jun-min Xie; Yao-qin Xu

doi:10.7102/JTCIM.202412_22(2).0003

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P24 - 35

医药卫生 > 中医药学

DOI： 10.7102/JTCIM

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中医帮助住院病人脱离呼吸器之会诊病例报告

Case report of Chinese medicine helping hospitalized patients to be weaned from ventilators

锺晨光(Chen-kuang Chung) ；谢俊民(Jun-min Xie) ；许尧钦(Yao-qin Xu)

中医内科医学杂志； 22 卷 2 期 (2024 / 12 / 01) ， P24 - 35

繁体中文;英文 DOI： 10.7102/JTCIM.202412_22(2).0003

心脏衰竭；呼吸衰竭；心肺肾气阴两虚；脱离呼吸器； Heart failure ； respiratory failure ； deficiency of Qi and Yin in the heart, lungs and kidneys ； weaning from the ventilator

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摘要 │ 参考文献 (10)

摘要〈TOP〉

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This case is an 86-year-old male patient who was admitted to the hospital for treatment on Oct.17, 2023 due to acute decompensated heart failure complicated by acute pulmonary edema, bilateral pleural effusion, and bilateral pneumonia. After treatment with antibiotics and diuretics, intubation and the use of a respirator, the pneumonia, pleural effusion and pulmonary edema were controlled. However, initial assessment still failed to wean him from the respirator, so tracheotomy was recommended, and his family wanted to consult a traditional Chinese medicine doctors for help in weaning him from the respirator. We were consulted on Nov. 3.Then we approach the patient and figure out that the patient is conscious and flushed, but drowsy and tired. The respirator is PSP mode. The sputum is less, white in color, and sticky. NG is using and the digestion is good. The stool is less , yellow in color and soft in quantity. Foley is using and the urine is yellow.The right pulse is weak and deep, the left pulse is slippery, short and weak. The tip of the tongue is red. According to Chinese medicine, the syndrome is 'deficiency of Qi and Yin in the heart, lung and kidney along with loss of function in kidney for receiving qi. The principle of treatment is to strengthen the spleen and lung, replenish Qi and Yin in the heart and kidney, hold Qi and return it to the kidney. After taking five days of the chinese herbal medicine, the patient's breathing ability improved smoothly. He was successfully weaned off the ventilator on Nov. 9, transferred to the general ward on Nov. 15, and finally discharged on Nov. 30, and transferred to the outpatient clinic of traditional Chinese medicine. This is a successful case of a Chinese medicine doctor helping a hospitalized patient to be weaned from a ventilator.

参考文献 ( 10 ) 〈TOP〉

Up to date：Weaning from mechanical ventilation: Readiness testing，https://www.uptodate.com/contents/weaning-frommechanical-ventilation-readiness-testing-search=weaning%20&source=search_result&selectedTitle=3%7E150&usage_type=default&display_rank=3
Qin, Zhou,Qin, Wen-Zhe,Liu, Shuai-Bin,Kwong, Joey SW,Zhou, Jing,Chen, Jin(2014).Shengmai (a traditional Chinese herbal medicine) for heart failure (Review).Cochrane Database of Systematic Reviews,4,1-18.
Razazi, Keyvan、Boissier, Florence、Neuville, Mathilde(2018)。Pleural effusion during weaning from mechanical ventilation: a prospective observational multicenter study。Annals of・intensive care，8，103。
Shih, Ching Lo、Sheng, Kevin Kai M、Yen, Ru Li(2022)。Nutritional support for successful weaning in patients undergoing prolonged mechanical ventilation。Scientific Reports，12044。
Wang, Yanping,Zhou, Xu,Chen, Xiaofan(2020).Efficacy and Safety of Shengmai Injection for Chronic Heart Failure：A Systematic Review of Randomized Controlled Trials.Hindawi,Evidence-Based Complementary and Alternative Medicine,2020,1-10.

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