中医辨治儿童囊性纤维化1例
Differentiation of Cystic Fibrosis in Children with Traditional Chinese Medicine: A Case Report
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1.天津中医药大学第二附属医院儿科,天津 300150
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郭素香, 陈慧. 中医辨治儿童囊性纤维化1例[DB/OL].(2023-08-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40485259&Fpath=home&index=0
GUO Suxiang, CHEN Hui. Differentiation of Cystic Fibrosis in Children with Traditional Chinese Medicine: A Case Report[DB/OL].(2023-08-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40485259&Fpath=home&index=0
郭素香, 陈慧. 中医辨治儿童囊性纤维化1例[DB/OL].(2023-08-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40485259&Fpath=home&index=0 DOI:
GUO Suxiang, CHEN Hui. Differentiation of Cystic Fibrosis in Children with Traditional Chinese Medicine: A Case Report[DB/OL].(2023-08-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40485259&Fpath=home&index=0 DOI:
病史摘要,2,患儿,男,10岁,主因“间断咳嗽10余月,加重伴间断发热26天”于2020年10月11日就诊我院儿科门诊。患儿近10个月来间断咳嗽,咯黄痰,流黄涕,曾就诊多家医院,反复诊断细菌感染导致的“肺炎”“支气管炎”,多次静脉注射或口服抗生素治疗,咳嗽时轻时重。26天前,患儿咳嗽、咯黄痰症状再次加重,伴随间断性发热,先后于我院和儿童医院治疗。鉴于患儿平素易感冒,咯黄痰、流黄涕,反复肺炎、鼻窦炎、中耳炎病史,结合全外显子基因检测发现CFTR基因变异,确诊囊性纤维化。出院后延续住院抗感染、抗炎治疗方案,患儿仍时有低热,咳嗽、咯黄痰,为寻求中西医结合治疗来诊。刻诊见偶咳,咳声低微,频繁咯黄色痰液,易咯出,每次痰液量约10~15 mL,低热,体温37.5 ℃,流涕,涕液黄浊,无鼻塞、鼻痒,纳食一般,大便调。平素倦怠懒动,喜吐白色涎沫,感冒后流黄涕、咯黄痰。查体:形体消瘦,精神可,面色萎黄不华,口唇色红,咽红,双侧扁桃体红肿,双肺呼吸音粗,可闻及湿性啰音,左肺尤著。舌质稍红,苔薄黄,脉浮。中医诊断 肺痿(肺虚痰瘀,兼风热外感证)西医诊断 囊性纤维化干预措施 中医治疗以疏风散热,兼以补气、祛痰、化瘀;西医治疗以抗感染、抗炎。疗效转归 服药后症状控制,半年未发肺疾。
Summary of case history, A 10-year-old boy was admitted to the pediatric outpatient department of our hospital on October 11, 2020.Due to "intermittent cough for more than 10 months, aggravation and intermittent fever for 26 days". In recent 10 months, the child had intermittent cough, yellow phlegm and yellow nose. He had visited many hospitals and repeatedly diagnosed "pneumonia" and "bronchitis" caused by bacterial infection. He was treated with intravenous or oral antibiotics for many times.26 days ago, the patient's cough and phlegm symptoms aggravated again, accompanied by intermittent fever. Considering that the child was prone to colds, recurrent cough of yellow phlegm, runny nose, recurrent pneumonia, sinusitis, and otitis media, combined with the results of whole exon gene detection of CFTR gene variation, the final diagnosis of cystic fibrosis was made.After discharge, the patient continued to stay in the anti-infection and anti-inflammatory treatment program. The child still had low fever, cough and cough. In order to seek treatment of integrated Chinese and Western medicine, he came to see a doctor here. The present symptoms of children include occasional cough, low cough, frequent cough of yellow sputum, relatively easy to cough up, the amount of sputum about 10-15ml each time, low fever, temperature 37.5 degrees Celsius, runny nose, yellow turbed nose, no nasal congestion, nasal itching, normal appetite, normal stool.This child usually feel tired do not want to activity, often spit white saliva and saliva, cold after easy to flow yellow nose, cough yellow sputum. Physical examination: thin body, general spirit, yellow complexion, red lips, red pharynx, bilateral tonsil swelling, thick breath sounds in both lungs, wet rales can be reached, especially in the left lung. Tongue slightly red, thin yellow moss, floating pulse.,TCM diagnosis, Lung paralysis(lung deficiency and phlegm stasis, wind-heat exogenous syndrome),Western medicine diagnosis, Cystic fibrosis,Therapeutic methods, Traditional Chinese medicine treatment to wind dissipation, and to replenish qi, expectorant, blood stasis; Western medicine treatment to anti-infection, anti-inflammatory.,Clinical outcomes, After taking the medicine, the symptoms were controlled and no lung disease occurred for half a year.
囊性纤维化中医药肺痿儿童【适合阅读专业】 中医药儿科呼吸科
Cystic fibrosisTraditional Chinese medicineLung paralysischildren【Suitable majors】 Traditional Chinese medicinePediatric departmentRespiratory department
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