25S.14 儿童严重特殊传染性肺炎（COVID-19）之中西整合照护病例报告
TJ TCM.25(S) : 105-114, 2022
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儿童严重特殊传染性肺炎（COVID-19）之中西整合照护病例报告
A Case Report of Pediatric COVID-19 with Integrated Treatment of Western and
Traditional Chinese Medicine
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张顺昌1 苏纹华1 林昭仁2 黄颂俨1*
1 彰化基督教医院中医部，彰化，台湾
2 彰化基督教儿童医院感染科，彰化，台湾
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【摘要】
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2021 年5 月台湾严重特殊传染性肺炎（COVID-19）社区疫情爆发，儿童感染新型冠状病毒（SARS-CoV-2）的数量亦随之增加。虽儿童感染SARS-CoV-2 的症状较轻微，住院率与死亡率较低，然而疫病传变迅速，临床仍须尽早介入以截断病势，避免病情转为危重症。本病例为一名1 岁7 个月男性幼儿，腹泻一周後经检测确诊感染SARS-CoV-2 并入院隔离治疗，因腹泻症状持续，会诊中医协助治疗，经中医辨证为外感疫戾之气，邪入太阴肺脾，湿滞内停，以藿香正气散加减配合西医整肠菌与输液，经治疗後临床症状改善，病毒循环数阀值（Cycle Threshold, Ct 值）达解除隔离标准，顺利出院。
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【关键词】严重特殊传染性肺炎、新型冠状病毒、儿童、中医
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Shun-Chang Chang1Wen-Hua Su1Chao-Jen Lin2Sung-Yen Huang1*
1Department of Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan
2Department of Pediatrics, Changhua Christian Children’s Hospital, Changhua, Taiwan
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【Summary】
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In May 2021, the community outbreak of Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), in Taiwan caused an increase in the number of children infected. This case report describes a 1-year-7-month-old boy who presented with mild cough and diarrhea. COVID-19 Polymerase chain reaction (PCR) was positive and the initial Cycle Threshold (Ct value) was 16. He was admitted and isolated to the hospital while supportive treatment was given. However, diarrhea persisted, Traditional Chinese medicine was consulted for integrative care. The COVID-19 belongs to plague in TCM with the etiology of epidemic factor exposure. He was diagnosed with cold-damp constraint in the lung and spleen. After treatment with modified Huo Xiang Zheng Qi San, the clinical symptoms improved while the Ct value (37.89) reached de-isolation standard and he was successfully discharged.
【Keywords】COVID-19; SARS-CoV-2; Pediatrics; Traditional Chinese medicine
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