新冠後呼吸衰竭之中醫治療病例報告

Traditional Chinese Medicine Treatment for Respiratory Failure Following COVID-19 Infection: A case report

10.7102/JTCIM.202406_22(1).0002

李杭哲(Hang-Che, Li)；陳柏全(Bor-Chyuan, Chen)；阮膺旭(Ying-Hsu Juan)

新冠肺炎 ； 呼吸衰竭 ； 中醫 ； COVID-19 ； respiratory failure ； Traditional Chinese medicine

中醫內科醫學雜誌

22卷1期（2024 / 06 / 01）

13 - 21

繁體中文;英文

70歲男性感染2019年新冠肺炎（COVID-19）後，因出現呼吸衰竭而進入加護病房接受氣管插管，經過西醫治療後順利轉陰。然而，病患一直未能脫離呼吸器，家屬於111.12.02尋求中醫協助，希望病患早日脫離呼吸器。患者長期臥床，於中醫會診時有呼吸短淺、黃痰多等症狀。經過四診合參診斷後，使用中藥以清熱祛痰、提振陽氣的方式治療。患者在中醫介入12日後成功脫離呼吸器。

A 70-year-old male, who had contracted COVID-19 in 2019, was admitted to the intensive care unit due to respiratory distress, leading to the insertion of a endotracheal tube. Following Western medical treatment, he successfully transitioned to a stable condition. However, he remained dependent on a ventilator. On December 2, 2022, the family sought assistance from traditional Chinese medicine (TCM) with the hope of facilitating the patient's early weaning. The bed-ridden patient exhibited symptoms such as shallow breathing, excessive yellow phlegm during the TCM consultation. After a comprehensive diagnosis through the four examinations in TCM (inspection, listening and smelling, inquiry, and palpation), treatment was administered using Chinese herbal medicine to clear heat, eliminate phlegm, and invigorate yang energy. After 12 days of TCM intervention, the patient successfully weaned off the ventilator.