肺肠同治法治疗鹦鹉热衣原体重症肺炎患者1例
One Medical Case:Treatment of Pneumonia Patients with Parrot Fever Coated Body Weight Syndrome with Lung and Intestine Combined Therapy
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1.北京中医医院顺义医院呼吸科,北京 101300
2.北京中医医院顺义医院肿瘤科,北京 101300
3.北京中医医院顺义医院呼吸科,北京 101300
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冯京帅,杨海宁,肖鹏云.肺肠同治法治疗鹦鹉热衣原体重症肺炎患者1例[DB/OL].(2023-12-18)[2023-12-18].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46082755&Fpath=home&index=0&lang=zh
FENG JingShuai,YANG HaiNing,XIAO PengYun.One Medical Case:Treatment of Pneumonia Patients with Parrot Fever Coated Body Weight Syndrome with Lung and Intestine Combined Therapy[J].,
冯京帅,杨海宁,肖鹏云.肺肠同治法治疗鹦鹉热衣原体重症肺炎患者1例[DB/OL].(2023-12-18)[2023-12-18].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46082755&Fpath=home&index=0&lang=zh DOI:
FENG JingShuai,YANG HaiNing,XIAO PengYun.One Medical Case:Treatment of Pneumonia Patients with Parrot Fever Coated Body Weight Syndrome with Lung and Intestine Combined Therapy[J]., DOI:.
病史摘要,2,患者老年男性,主因“发热伴咳嗽喘息5天”入院。患者5天前出现发热、喘息气促,恶寒寒战,曾自行口服磷酸奥司他韦未见好转,2天前外院查血常规提示白细胞升高,予头孢类及对乙酰氨基酚口服仍间断发热,今日于我院急诊完善相关检查后考虑“肺炎”后入院。四诊信息:少神,呼吸气促,发热,咳嗽少痰,活动后胸闷憋气,口苦,欲饮,纳可,眠欠安,夜尿频,大便4天未解,舌红苔黄,脉弦滑。中医诊断 风温肺热病(肺热腑实)。西医诊断 鹦鹉热衣原体肺炎。干预措施 中医以肺肠同治法予汤药口服;西医以抗感染、营养支持及保护脏器功能为主。疗效转归 患者治疗后诸证消失,复查血常规恢复正常,住院期间复查胸部CT感染较前明显吸收,出院后门诊复查胸部CT感染基本吸收,病已痊愈。
One Medical Case:Treatment of Pneumonia Patients with Parrot Fever Coated Body Weight Syndrome with Lung and Intestine Combined Therapy,Summary of case history, The patient is an elderly male,be in hospital for "Fever with cough and wheezing for 5 days."five days ago, the patient began to experience fever,wheezing and shortness-breath,aversion to cold and shiver,oral Oseltamivir without improvement in condition, examination blood routine indicates high WBC at a community hospital 2 days ago,administer cephalosporin and acetaminophen orally,the patient is still experiencing intermittent fever,seek medical our hospital's emergency department at today,after completing relevant examinations diagnosis of "pneumonia"be hospitalized.Four diagnostic information:spirit lessen,Shortness of breath,Fever, cough, and less phlegm,chest tightness and suffocation after activity,bitter mouth, want to drink water,normal diet,poor sleep,nocturnal polyuria,no defecation for 4 days. red tongue with yellowish fur,pulse is stringy and slippery.,TCM diagnosis, wind-warm and lung-Heat(the lung hot intestinal accumulation),Western medicine diagnosis, chlamydia psittaci pneumonia,Therapeutic methods, Traditional Chinese Medicine Treatment with the lung and intestine therapy,oral decoction..Western medicine treatment for anti-infection,nutritional support and Protecting organ function.,Clinical outcomes, After treatment the patient's symptoms disappear,blood routine returns to normal,During hospitalization, chest CT infection was significantly absorption of infection compared to before,outpatient service review chest CT indicating that inflammation has been basically absorbed after post-discharge,the disease has healed.
中医药风温肺热病肺肠同治法鹦鹉热衣原体肺炎
traditional Chinese Medicinewind-warm and lung-Heatlung and intestine therapychlamydia psittacipneumonia
RAVICHANDRAN K, ANBAZHAGAN S, KARTHIK K, et al. A-comprehensive review on avian chlamydiosis:a neglected zoonotic disease [J].Trop Anim Health Prod, 2021,53(4):414-414.
CHEN X, CAO K, WEI Y, et al. Metagenomic next-generation sequencing in the diagnosis of severe pneumonias caused by Chlamydia psittaci [J]. Infection, 2020, 48(4): 535-542.
HOGERWERF L,ROOF I,DE J M J K,et al.Animal sources for zoonotic transmission of psittacosis: a systematic review.[J].BMC Infect Dis,2020,20(1):192.
范红.鹦鹉热,不容小觑的传染病[J].中国呼吸与危重监护杂志,2022,1.
杨红菊,闫曼,李小敏,等.鹦鹉热衣原体重症肺炎救治1例[J].巴楚医学,2021,4(1):88-90.
王永炎,晁恩祥.今日中医内科(中卷)[M].北京:人民卫生出版社,2000:44-80.
史兰萍,李阳. 鹦鹉热衣原体重症肺炎1例[J]. 中国感染与化疗杂志,2019,19(3):309-311.
张春镇,张朝辉. 鹦鹉热感染致多器官功能衰竭一例[J]. 海南医学,2022,33(11):1479-1482.
刘茹悦,闫燕羽,祁梦雷,刘维英. 鹦鹉热衣原体感染重症肺炎1例及文献分析[J]. 中国医药导报,2022,30:188-191.
王艳泓,邱玉英,唐健,等.结合宏基因组二代测序诊断的八例鹦鹉热患者临床分析[J].中国呼吸与危重监护杂志,2021,20(7):472-478.
梅全喜,现代中药药理与临床应用[M]北京:中国中医药出版社,2016.
张君实.麻黄的药理作用及临床应用研究近况[J].医药前沿,2017,7(30):5-7.
刘永瑞.加味麻杏石甘汤治疗社区获得性肺炎风温邪热壅肺证的临床研究[D].广州:广州中医药大学,2011.
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