A Case of Diagnosis and Treatment of Integrated Chinese and Western Medicine of Pneumonia Caused by Human Metapneumovirus Infection
1.Department of Infectious Diseases, Nanjing Hospital of Traditional Chinese medicine affiliated to the Nanjing University of Chinese Medicine, Nanjing, Jiangsu, 210001
2.Department of epidemic febrile diseases, Nanjing University of Chinese Medicine, Nanjing, Jiangsu
3.Yang Jin national famous Chinese medicine expert inheritance studio, Nanjing, Jiangsu
ZHANG Hong,ZHANG YanLiang,YANG Jin,et al.A Case of Diagnosis and Treatment of Integrated Chinese and Western Medicine of Pneumonia Caused by Human Metapneumovirus Infection[J].,
ZHANG Hong,ZHANG YanLiang,YANG Jin,et al.A Case of Diagnosis and Treatment of Integrated Chinese and Western Medicine of Pneumonia Caused by Human Metapneumovirus Infection[J].,DOI:.
A Case of Diagnosis and Treatment of Integrated Chinese and Western Medicine of Pneumonia Caused by Human Metapneumovirus Infection
Summary of case histry, On July 8, 2023, The patient chen appeared fever, cough, cough a small amount of yellow sputum, taking "Amoxicillin, paracetamol Huang Namin", fever disappeared, cough did not return to obvious. On July 16th, the cough became more serious, and the sputum contained blood clots. The chest CT examination in our hospital showed that there were scattered inflammation of the lung. She was admitted with"Fever and cough for 9 days, aggravated by 1 day". Admission to see:No Fever, cough, yellow sputum, occasionally sputum with blood clots, no wheezing chest pain, no breathing difficulties, poor sleep, red tongue, slightly greasy fur yellow, pulse floating number. Pre-existing Hypertension, type 2 diabetes, lacunar infarction, coronary arteriosclerosis, left breast malignancy resection.,TCM diagnosis, wind-warm disease ( yndrome of phlegm-heat obstructing lung) .,Western medicine diagnosis, community acquired pneumonia, non-severe, hypertension, type 2 diabetes, lacunar infarction, coronary arteriosclerosis, left breast, after malignant tumor resection. ,Interventions,: After admission,patients were given piperacillin-sulbactam for anti-infection, Bromhexine for cough and sputum reduction, and antihypertensive, hypoglycemic and plaque stabilization therapy.Targeted sequencing of multiple respiratory pathogens: human metapneumovirus 47695 copies/ml. The results suggested that the pulmonary infection was caused by human metapneumovirus, so the antibiotics were stopped, and the traditional Chinese medicine was taken orally for clearing away heat and toxin, relieving cough and resolving phlegm (see text for specific prescriptions) .,Clinical outcomes, After treatment, the symptoms of cough and expectoration were obviously improved, no fever, no chest tightness, no palpitation, and so on. After discharge, the outpatient continued to take oral Chinese medicine treatment, more than half a month after taking Chinese medicine no fever, no cough expectoration, no chest tightness flustered.
关键词
肺炎人偏肺病毒感染hMPV中药
Keywords
pneumoniahuman metapneumovirus infectionhMPVtraditional Chinese medicine
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