A Case of Post-infection Bronchiolitis Obliterans Treated by Integrat-ed Traditional Chinese and Western Medicine
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1.Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China
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HUO Jingwei, CHEN Haipeng, WU Liqun. A Case of Post-infection Bronchiolitis Obliterans Treated by Integrat-ed Traditional Chinese and Western Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636415&Fpath=home&index=0
病史摘要,2,患儿李某某,男,2岁4月,主因“咳嗽、喘息2月余”于2019年5月23日来我院就诊。患儿2019年3月20日因持续高热、咳嗽、喘息,于山西省儿童医院住院治疗,诊断为重症肺炎,治疗1周后体温正常,咳嗽、气喘减轻,好转出院。出院后仍反复出现咳嗽、喘息,活动后加重。2019年4月复查胸部CT诊断为闭塞性细支气管炎,予抗炎、雾化治疗,2019年5月复因肺炎入院,好转出院后欲求中医治疗,来我科专家门诊就诊。首诊时四诊信息:咳嗽,喉中痰鸣,活动后咳嗽明显,偶有气短乏力,无明显喘息,夜汗多,纳少,眠安,二便正常。舌质淡,苔薄白,指纹淡滞。中医诊断 肺炎喘嗽,气虚痰瘀证。西医诊断 闭塞性细支气管炎。干预措施 西医方面予抗炎、雾化等对症治疗,中医方面分为急性期、缓解期,分别治以宣肺开闭、健脾补肺、燥湿化痰,化瘀通络贯穿治疗始终。疗效转归 经中西医综合调理,于2021年7月复查胸部CT未见明显异常,肺功能气道阻力基本正常。
Summary of case history ,The patient Li, male, 2.4 years old, visited Dongfang Hospital on May 23, 2019 mainly for "cough and wheezing for over 2 months". On March 20, 2019, the child was hospitalized in Shanxi Children's Hospital because of persistent high fever, cough and wheezing. He was diagnosed as severe pneumonia. After 1 week of treatment, his body temperature was normal, and his cough and wheezing were relieved. Cough and wheezing were repeated after discharge, and aggravated after activity. In April 2019, a bronchiolitis obliterans was diagnosed according to chest CT results and anti-inflammatory and inhalation treatment was given. In May 2019, he was admitted to the hospital again because of pneumonia. After the pneumonia was alleviated, post-discharge Chinese Medicine treatment was given in specialist outpatient clinic of Dongfang Hospital. Information of four diagnostic methods in the first visit: cough (significant after physical activity), sputum wheezing in the larynx, occasional dyspnea and fatigue without obvious panting, night sweat, unfavourable appetite, secure sleep, normal stool and urine, pale tongue with thin and white coat, pale finger vein color.,TCM Diagnosis, pneumonia with dyspneic cough (Qi deficiency with phlegm stasis pattern).,Western Medicine Diagnosis, bronchiolitis obliterans.,Therapeutic methods ,Western medicine symptomatic treatments was given, including anti-inflammation and inhalation, while in traditional Chinese medicine the disease was divided into acute phase and remission phase, which were respectively treated with the methods of dispersing and discharging lung, invigorating spleen and tonifying lung, eliminating dampness and removing phlegm. Specifically, the method of invigorating blood and dissolving stasis in collateral should be applied throughout the treatment.,Clinical outcomes ,after integrated Traditional Chinese and Western Medicine treatment, a chest CT in July 2021 showed no obvious abnormalities and airway resistance was generally normal.
感染后闭塞性细支气管炎分期辨治中西医结合治疗
post infection bronchiolitis obliteransdifferentiation and treatment by stagesIntegrated Traditional Chinese and Western Medicine
中华医学会儿科学分会呼吸学组《中华儿科杂志》编辑委员会.儿童闭塞性细支气管炎的诊断与治疗建议[J].中华儿科杂志,2012,50(10):743-745.
孙东方,姜红,姜红堃.儿童闭塞性细支气管炎的治疗研究进展[J].国际儿科学杂志,2018,45(6):430-433.
徐方蔚,吴力群.吴力群教授从窠囊痰瘀论治儿童闭塞性细支气管炎经验[J].中医儿科杂志,2021,17(6):13-15.
严永东,戴鸽.儿童腺病毒肺炎并闭塞性细支气管炎的诊治进展[J].中华实用儿科临床杂志,2020,35(22):1685-1689.
张红.孟鲁司特钠治疗儿童感染后闭塞性细支气管炎疗效分析[J].陕西医学杂志,2018,47(12):1641-1643+1647.
林继雷,郑雪香,钟林平,等.小剂量阿奇霉素辅助治疗儿童闭塞性细支气管炎临床疗效分析[J].儿科药学杂志,2019,25(1):18-20.
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