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中医药灌肠疗法治疗1例呼吸道新型冠状病毒核酸检测阴性但肠道核酸检测阳性患者:病例报告

Traditional Chinese Medicine Enema Therapy in a Patient With a Confirmed Negative SARS-CoV-2 Test in the Respiratory Tract but Positive in the Intestinal Tract: A Case Report.

作者信息

Dai Yuzhu, Zhao Zhiyou, Zhou Huajun, Huang Dedong, Luo Jianjun, Zhang Cunhai, Chen Qingyong, Chen Xingcan, Yao Yuan, Jiang Xiaoxiao, Cheng Jun

机构信息

Department of Clinical Laboratory, West Lake Hospital Affiliated to Hangzhou Medical College, Hangzhou, China.

Department of Traditional Chinese Medicine, West Lake Hospital Affiliated to Hangzhou Medical College, Hangzhou, China.

出版信息

Front Public Health. 2021 Jul 9;9:687283. doi: 10.3389/fpubh.2021.687283. eCollection 2021.

Abstract

We report the case of a 43-year-old man who was infected with SARS-CoV-2 in February 2020 and actively cooperated with treatment in the hospital. During the course of treatment, we found that the respiratory SARS-CoV-2 nucleic acid became negative, but remained positive in the intestinal tract. As a result, we adjusted the treatment plan to include traditional Chinese medicine enema treatment. The patient had negative intestinal SARS-CoV-2 nucleic acid test within 4 days, and the subsequent repeated review of intestinal SARS-CoV-2 nucleic acid was negative, and the virus was undetectable. It is suggested that traditional Chinese medicine enema treatment may be helpful to remove the SARS-CoV-2 in the intestines of patients with COVID-19 infection, and may support the treatment of patients with respiratory SARS-CoV-2 nucleic acid negative and positive in the intestinal tract.

摘要

我们报告了一名43岁男性的病例,该患者于2020年2月感染了SARS-CoV-2,并在医院积极配合治疗。在治疗过程中,我们发现呼吸道SARS-CoV-2核酸转为阴性,但肠道内仍为阳性。因此,我们调整了治疗方案,加入了中药灌肠治疗。患者在4天内肠道SARS-CoV-2核酸检测呈阴性,随后多次复查肠道SARS-CoV-2核酸均为阴性,病毒检测不到。提示中药灌肠治疗可能有助于清除COVID-19感染患者肠道内的SARS-CoV-2,并可能对呼吸道SARS-CoV-2核酸阴性而肠道内阳性的患者治疗有辅助作用。

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