中医辨证论治机化性肺炎1例
增强出版A Cases of Organized Pneumonia Treated by TCM Syndrome Differentiation
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1.浙江中医药大学附属丽水中医院肺病科,丽水 323000
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刘忠达, 杨晓明. 中医辨证论治机化性肺炎1例[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102528&Fpath=home&index=0
YANG Xiaoming. A Cases of Organized Pneumonia Treated by TCM Syndrome Differentiation[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102528&Fpath=home&index=0
刘忠达, 杨晓明. 中医辨证论治机化性肺炎1例[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102528&Fpath=home&index=0 DOI:
YANG Xiaoming. A Cases of Organized Pneumonia Treated by TCM Syndrome Differentiation[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102528&Fpath=home&index=0 DOI:
病史摘要,2,患者女,40岁,教师。患者于2017年7月受凉后开始出现咳嗽,以干咳为主,就诊于丽水市某医院门诊,查胸部CT:左肺下叶感染,对症治疗后未见明显缓解。胸部CT提示肺部感染进行性增多。2018年2月于丽水市某医院住院治疗,诊断考虑“机化性肺炎”,出院后长期口服激素对症治疗,患者咳嗽症状改善不明显,加之畏惧长期服用糖皮质激素的副作用,求治于本院肺病学研究首席专家门诊工作室刘忠达老师。中医诊断 咳嗽病 肺脾气虚、痰湿中阻证。西医诊断 机化性肺炎。干预措施 西医治疗:予甲泼尼龙片20 mg qd po抗炎,逐渐减量至停用;奥美拉唑肠溶胶囊20 mg qd po护胃。中医治疗:中医治法予补肺健脾、化痰通络。处方为自拟方加减;并配合中医外治法铜砭刮痧治疗。疗效转归 患者咳嗽、乏力、胸闷等症状好转,复查CT示两肺感染及两肺下叶间质性病变基本吸收。门诊随访及电话随访均正常。
Summary of case history ,Patient, 40, teacher. Patients began to cough after cooling in July 2017, mainly dry cough. They were treated in the outpatient department of a hospital in Lishui. Chest CT examination showed that left lower lobe infection was not significantly relieved after symptomatic treatment. Chest CT showed a progressive increase in pulmonary infection. In February 2018, a hospital in Lishui was hospitalized. The diagnosis was based on ' mechanical pneumonia '. Long-term oral hormone symptomatic treatment after discharge, the improvement of cough symptoms was not obvious, and the side effects of long-term use of glucocorticoids were feared. Professor Liu Zhongda, chief expert outpatient studio of pulmonary disease research in our hospital.,TCM diagnosis ,Cough disease--Lung temper deficiency and phlegm dampness obstruction syndrome,Western medicine diagnosis ,Organized Pneumonia,Therapeutic methods ,Western medicine treatment: Methylprednisolone tablets 20mg qd po anti-inflammatory, gradually reduced to discontinuation ; omeprazole enteric-coated capsules 20 mg qd po for gastric protection. Chinese medicine treatment: Chinese medicine treatment to Fill lung and spleen, phlegm and collaterals. The prescription is self-made addition and subtraction ; and with external treatment of traditional Chinese medicine copper needle scraping treatment.,Clinical outcomes ,Patients with cough, fatigue, chest tightness and other symptoms improved, review CT showed two lung infection and two lower lobe interstitial lesions of the basic absorption. Outpatient follow-up and telephone follow-up were normal,.
机化性肺炎中医药
OPTraditional Chinese Medicine
苏鑫,顾恒琼,李玉柱.40例机化性肺炎临床特征[J].中华医院感染学杂志,2021,31(24):3727-3731.隋艾凤,邓虎,徐艳玲.加减生脉二陈汤治疗隐源性机化性肺炎的临床观察[J].世界中西医结合杂志,2019,14(3):380-383.
韩桂玲,贾明月,韩春生,等.益气养阴活血中药对16例隐源性机化性肺炎患者复发率的影响[J].中医杂志,2013,54(16):1383-1385.
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