中药治疗胶质瘤个案报道
A case report of traditional Chinese medicine in the treatment of glioma
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1.重庆市中医院脑病科,重庆 400021
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李金容, 唐军. 中药治疗胶质瘤个案报道[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36540193&Fpath=home&index=0
LI Jinrong, TANG Jun. A case report of traditional Chinese medicine in the treatment of glioma[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36540193&Fpath=home&index=0
李金容, 唐军. 中药治疗胶质瘤个案报道[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36540193&Fpath=home&index=0 DOI:
LI Jinrong, TANG Jun. A case report of traditional Chinese medicine in the treatment of glioma[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36540193&Fpath=home&index=0 DOI:
病史摘要,2,彭某,女,70岁,因“左侧肢体无力半年,意识不清5个月”于2016年2月9日来我院就诊。半年前(2015年8月)患者无明显诱因出现左侧肢体无力,伴有头晕、头胀痛、颈僵、行走不稳,于我院及重医附一院就诊,诊断“脑胶质瘤”,患者未经系统治疗。5个月前(2015年9月)患者出现意识不清,大声呼之有反应,少言语,言语不清,四肢自主活动少,先后于我院及外院住院治疗数次,患者及家属拒绝行手术、放化疗,间断予脱水降颅压等西医非手术治疗,病情反复,逐渐加重,遂再次于我院就诊,经住院治疗8个月后病情好转出院。中医诊断 脑肿瘤 痰蒙清窍证西医诊断 脑胶质瘤干预措施 西医予抗炎、降压、补液等对症支持治疗,中医治以燥湿化痰,醒神开窍,予自拟口服中药汤剂辨证施治。疗效转归 初服14剂中药后,患者意识转为嗜睡状,有自主睁眼,左侧肢体无力活动,右侧上下肢偶见自主活动。感染缓解,患者家属要求仅使用中药汤剂治疗。对初次处方进行调整后,再服用中药21剂,患者意识障碍改善,呈模糊状态,可回答简单提问,可经口少量进食,右侧上下肢可见自主活动,左侧上下肢偶有活动,二便有反应。复查头颅MRI平扫提示:脑干病灶范围较前减小,右侧大脑半球占位效应较前缓解。其后据患者邪正虚实情况适当加减,共住院治疗8个月,期间病情稳定,出院前复查头颅MRI平扫,提示右侧大脑、小脑、脑干水肿带范围缩小,病灶占位效应明显缓解。出院时患者意识模糊,可识家人,简单对话,吐词含混,经口少量进食,辅以胃管注食,右侧上下肢可见自主活动,左侧上下肢偶有活动,二便时有失禁。出院后患者于家中护理,间断服用中药汤剂,于2018年初因脑出血去世。
Summary of case history, Peng Mou, female, 70 years old, due to "left limb weakness for half a year, consciousness is not clear for 5 months " in February 9,2016 to our hospital. Half a year ago ( August 2015 ), the patient had no obvious cause of left limb weakness, accompanied by dizziness, headache, neck stiffness, and walking instability. She was diagnosed with " glioma" in our hospital and the First Affiliated Hospital of Chongqing Medical University. Five months ago ( September 2015 ), the patient developed unconsciousness, responded to loud calls, less speech, unclear speech, and less independent movement of the limbs. She was hospitalized several times in our and other hospitals. The patient and her family refused to undergo surgery, radiotherapy and chemotherapy, and intermittently received non-surgical treatment such as dehydration and intracranial pressure reduction. The condition was repeated and gradually aggravated, and then he was treated in our hospital again. After 8 months of hospitalization, the condition improved and discharged.,TCM diagnosis, Brain Tumor Tan Meng Qing Qiao Syndrome,Western medicine diagnosis, Glioma,Therapeutic methods, Western medicine provides symptomatic and supportive treatment such as anti-inflammatory, antihypertensive, and rehydration, and traditional Chinese medicine treats to dry dampness and resolve phlegm, soothe the mind and open the mind, and self-made oral Chinese medicine decoction is used for syndrome differentiation.,Clinical outcomes, After taking 14 doses of traditional Chinese medicine for the first time, the patient's consciousness turned to drowsiness, with voluntary eye opening, weak movement of the left limb, and occasional voluntary movement of the right upper and lower limbs. The infection was relieved, and the family members of the patient requested to use only traditional Chinese medicine decoction for treatment. After adjusting the initial prescription and taking another 21 doses of traditional Chinese medicine, the patient's disturbance of consciousness improved, and the patient was in a fuzzy state. There will be a reaction. The re-examination of the head MRI showed that the scope of the brainstem lesions was reduced, and the mass effect of the right cerebral hemisphere was relieved. Afterwards, according to the patient's evil, righteousness and deficiency, the patient was hospitalized for a total of 8 months, during which the condition was stable. Before discharge, the head MRI scan showed that the right cerebrum, cerebellum, and brainstem edema were narrowed, and the lesion mass effect was obvious. ease. At discharge, the patient was confused, could recognize family members, had simple conversations, slurred words, took a small amount of food by mouth, supplemented by gastric tube injection, and showed voluntary movement of the upper and lower limbs on the right side, occasional movement of the upper and lower limbs on the left side, and incontinence during two bowel movements. . After being discharged from the hospital, the patient was nursed at home and took traditional Chinese medicine decoction intermittently. She died of cerebral hemorrhage in early 2018.
中药脑胶质瘤【适合阅读专业】 脑病急诊
Traditional Chinese MedicineGlioma【Suitable majors】 EncephalopathyEmergency
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