周凌益气通窍排脓法治疗儿童慢性鼻窦炎经验
增强出版Professor ZHOU Ling's Experience of Treating Chronic Sinusitis in Children with the Method of Strengthening to Open Orifices
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1.黑龙江中医药大学附属第一医院耳鼻喉科,黑龙江 哈尔滨 150040
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高雪娇, 周凌. 周凌益气通窍排脓法治疗儿童慢性鼻窦炎经验[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602384&Fpath=home&index=0
GAO Xuejiao, ZHOU Ling. Professor ZHOU Ling's Experience of Treating Chronic Sinusitis in Children with the Method of Strengthening to Open Orifices[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602384&Fpath=home&index=0
高雪娇, 周凌. 周凌益气通窍排脓法治疗儿童慢性鼻窦炎经验[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602384&Fpath=home&index=0 DOI:
GAO Xuejiao, ZHOU Ling. Professor ZHOU Ling's Experience of Treating Chronic Sinusitis in Children with the Method of Strengthening to Open Orifices[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602384&Fpath=home&index=0 DOI:
病史摘要,2,患儿,张某某,男,5岁。主诉:打喷嚏、鼻塞、流白粘涕3个月,前额眉棱骨疼痛2周。现病史:患儿3个月前,因受凉后出现感冒症状,自行口服感冒药及退热药后,其后发热、咳嗽缓解,仍有打喷嚏、鼻塞、流白粘涕,其间家长未予重视,2周前上述症状仍未缓解,患儿又自觉前额眉棱骨疼痛,于哈尔滨儿童医院就诊,诊断为:双侧上颌窦炎、额窦炎,予欧龙马滴剂口服,糠酸莫米松鼻喷剂喷鼻,治疗1周,症状未见好转,遂建议手术治疗,患儿家属拒绝手术。现偶有阵发性喷嚏,鼻塞,流白粘涕,前额疼痛明显,头昏沉,神疲乏力,懒言,食少纳呆,大便溏稀,小便正常,舌淡,苔白,指纹淡。中医诊断 鼻渊病(肺脾气虚证)西医诊断 慢性鼻窦炎干预措施 在原有西药础上,采取中药汤剂益气通窍饮,同时配合鱼腥草注射液进行鼻负压置换及局部超短波理疗,经过14天治疗。疗效转归 患儿病情好转,打喷嚏、鼻塞、流粘白涕症状消失,前额眉棱骨疼痛明显减轻。
5 years old male patient, named Zhang came to see doctor due to, the Main complaintsthat sneezing, nasal congestion, white mucus for 3 months, forehead and brow bone pain for 2 weeks. Current medical history: three months ago, the child developed cold symptoms due to cold. After taking medicine to treat cold and antipyretic medicine by himself, the fever and cough were relieved, and there were still sneezing, nasal congestion and white mucus. During this period, the parents did not pay attention to it. Two weeks ago, the above symptoms were still not relieved, and the child felt pain in the forehead and brow bone. He went to Harbin Children's Hospital and was diagnosed as bilateral maxillary sinusitis and frontal sinusitis. He was given oral oroma drops, Mometasone furoate nasal spray was used for nasal treatment for 1 week, but the symptoms did not improve. Therefore, surgery was recommended, and the family members of the child refused the method of operation. Now there are occasional paroxysmal sneezes, nasal congestion, white mucus, obvious forehead pain, dizziness, fatigue, lazy speech, little food, loose stool, normal urination, thin tongue, white fur, and thin fingerprints. The diagnosis of traditional Chinese medicine was nasosinusitis (lung qi deficiency syndrome), and the diagnosis of Western medicine was chronic sinusitis. On the basis of the original western medicine, Professor Zhou took the traditional Chinese medicine decoction Yiqi Tongqiao drink, and cooperated with Houttuynia injection for nasal negative pressure replacement and local ultrashort wave physiotherapy. After 14 days of treatment. The child's condition improved, and the symptoms of sneezing, nasal congestion, and white mucus disappeared, and the pain of forehead and brow bones was significantly reduced.,TCM diagnosis, Nasosinusitis (lung qi deficiency syndrome),Western medicine diagnosis, Chronic sinusitis,Therapeutic methods, On the basis of the original western medicine, Professor Zhou took the traditional Chinese medicine decoction Yiqi Tongqiao drink, and cooperated with Houttuynia injection for nasal negative pressure replacement and local ultrashort wave physiotherapy. After 14 days of treatment.,Clinical outcomes, The child's condition improved, and the symptoms of sneezing, nasal congestion, and white mucus disappeared, and the pain of forehead and brow bones was significantly reduced.
益气通窍排脓法内服外治儿童慢性鼻窦炎【适合阅读专业】 中医学耳鼻咽喉科学中医五官科学中医儿科学
Method of tonifying qi to open orificesInternal and external treatmentChronic sinusitis in children【Suitable majors】 Traditional Chinese MedicineOtorhinolaryngologyTraditional Chinese medicine facial features sciencePediatrics of traditional Chinese medicine
中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分 会小儿学组、鼻科学组.儿童鼻-鼻窦炎诊断和治疗建议(2012年,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013,48(3):177-179.
陶泽璋,陈始明.儿童慢性鼻-鼻窦炎的精准化诊疗[J].临床耳鼻咽喉头颈外科杂志,2018,32(21):1610-1613.
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