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Chang Ting-Wei1 Tai Yu-Chih1*
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation,
Taipei, Taiwan
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A 49-year-old man, with a history of hepatitis type B and C infection, suffered from influenza complicated with acute respiratory failure in early February 2016. He was treated with endotracheal tube and ventilator to keep his respiration fluent in other hospital for 1 month. He was transferred to Tzu Chi intensive care unit on March 16th 2016 for the following weaning process. In the intensive care unit, he suffered from the extubation because of incomplete remission of pneumonia, and concurrent bacteremia though treated by antibiotics and antiviral drugs continuously. However, at the night of 2016/4/13, he appeared hallucinations and delirium after severe insomnia. According to his poor responses to the treatment and the request of family, they consulted traditional Chinese medicine (TCM) on 2016/4/15. Chinese medicine doctor adopted to supplement with Yin and Qi and clear heat as a main rule. Besides, based on his condition, the second supporting rule is to resolve the exterior through sweating and precipitation. After treated with TCM for one and a half months, he weaned successfully, and was also discharged.Reviewing the case, we thought the body weight body, the alveolar oxygen gradient, and the SpO2 / FiO2 ratio are most likely as reference parameters to observe the therapeutic benefits.
Keywords：Influenza complication, acute respiratory failure, ventilator, delirium, heat into the construction, Dading wind beads
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211.13 流感并肺炎急性呼吸衰竭之中医会诊病例报告
