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中西医结合治疗新型冠状病毒肺炎危重症病例报告

Integrative management of critical case of Covid 19 with and modern medicine: A case report.

作者信息

Nakanekar Amit, Kulkarni Siddharth, Khobarkar Punam, Belsare Minal

机构信息

Department of Kayachikitsa Government Ayurved College, Nagpur, India.

Yogeshwari Hospital, Daund, India.

出版信息

J Ayurveda Integr Med. 2022 Jan-Mar;13(1):100496. doi: 10.1016/j.jaim.2021.07.012. Epub 2021 Jul 28.

Abstract

Covid 19 pandemic has placed challenges in front of medical health fraternity in terms of management, prevention and immunity building. Effectiveness of any medication has not conclusively proven; hence there is need for integrative management of Covid 19. We have managed a critical case of Covid-19 having history of thalassemia, hypothyroidism with integrative management of and modern medicine. A male patient (59 years of age) with history of thalassemia had complaints of cough and breathlessness since 4 days. He performed RT PCR because of his exposure to a Covid positive cases in immediate family. He was treated with Favipiravir at home for 5 days. He deteriorated on 6th day with SPO dropped to 75%, temp raised to 101 F and respiratory rate (RR) raised to 45/min. He was admitted in Yogeshwari Hospital Daund, Maharashtra; treated with oxygen inhalation, Remdesvir and medicines in intensive care unit (ICU). treatment protocol was advised through telemedicine. Significant improvement in clinical symptoms and normal HRCT was observed at completion of treatment. This case report provides further directions for integrative management in cases of Covid 19. Further clinical research studies in this direction are warranted.

摘要

新冠疫情在管理、预防和免疫建设方面给医疗卫生界带来了挑战。任何药物的有效性都尚未得到最终证实;因此,需要对新冠进行综合管理。我们通过中西医结合的方法成功治疗了一例患有地中海贫血、甲状腺功能减退病史的新冠重症病例。一名有地中海贫血病史的男性患者(59岁),4天来一直咳嗽、气喘。由于其直系亲属中有新冠阳性病例,他进行了逆转录聚合酶链反应检测。他在家中接受了5天的法匹拉韦治疗。第6天病情恶化,血氧饱和度降至75%,体温升至101华氏度,呼吸频率升至45次/分钟。他被收治于马哈拉施特拉邦道恩德的约格什瓦里医院;在重症监护室接受了吸氧、瑞德西韦和中药治疗。通过远程医疗提供了中医治疗方案。治疗结束时,临床症状有显著改善,高分辨率计算机断层扫描结果正常。本病例报告为新冠病例的综合管理提供了进一步的指导方向。有必要在这个方向上开展进一步的临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f54d/8728055/bec67de3ed87/gr1.jpg

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