中药配方联合西药治疗 COVID-19 危重症病例。

The combined therapy of a traditional Chinese medicine formula and Western medicine for a critically ill case infected with COVID-19.

机构信息

Department of Traditional Chinese Medicine, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.

Department of Nephrology, Institute of Nephritic and Urinary Disease, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.

出版信息

Complement Ther Med. 2020 Aug;52:102473. doi: 10.1016/j.ctim.2020.102473. Epub 2020 Jun 9.

Abstract

OBJECTIVE

Presentation of a case illustrating the benefits of traditional Chinese medicine (TCM) for treatment of Coronavirus disease 2019 (COVID-19) in critically ill patients.

CLINICAL FEATURES AND OUTCOME

A 58-year-old woman presented with cough, fever, dizziness, chest tightness, polypnea and poor appetite. She was admitted to Guizhou Provincial People's hospital, and diagnosed with critically ill type of COVID-19 in February 2020. According to the patient's symptoms and signs, the TCM syndrome differentiation was qi deficiency, dampness-stasis and toxin accumulation. Then she received the combined therapy of a modified Chinese herbal formula and Western medicine. During a twelve-day period of treatment, her respiratory distress and appetite quickly improved. Abnormal laboratory indicators were resumed in time and lung lesions in CT scan largely absorbed. No side effects associated with this Chinese herbal formula were found. Before discharge, two consecutive nasopharyngeal swabs were shown to be negative for severe acute respiratory coronavirus 2 (SARS-CoV-2).

CONCLUSIONS

Our case report suggests that collaborative treatments with traditional Chinese medicine prove beneficial in the management of COVID-19 in critically ill patients. In order to give optimal care for this COVID-19 crisis for the whole world, Chinese medicine practitioners and Western medical doctors should work together in frontline.

摘要

目的

介绍一个病例,说明中医药在治疗危重症 COVID-19 患者中的作用。

临床特征和转归

一位 58 岁女性,因咳嗽、发热、头晕、胸闷、呼吸急促和食欲不振而就诊。她于 2020 年 2 月被收入贵州省人民医院,被诊断为危重症 COVID-19 患者。根据患者的症状和体征,中医辨证为气虚、湿瘀毒。随后,她接受了中药方剂联合西药治疗。在 12 天的治疗过程中,她的呼吸窘迫和食欲迅速改善。异常的实验室指标及时恢复,CT 扫描显示肺部病变明显吸收。未发现与该中药方剂相关的副作用。出院前,连续两次鼻咽拭子检测均为严重急性呼吸冠状病毒 2(SARS-CoV-2)阴性。

结论

本病例报告提示,中医药联合治疗对危重症 COVID-19 患者的管理有益。为了应对全球 COVID-19 危机,中医从业者和西医医生应共同奋战在一线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b6/7282787/23a6053375c0/gr1_lrg.jpg

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