This case is a 55-year-old woman who was sent to the emergency department on 109/04/28 with a CT scan showing trauma-induced Subarachnoid hemorrhage (SDH), subarachnoid hemorrhage (SAH). After performing craniotomy and hematoma removal, External ventricular drainage (EVD) and Intracranial Pressure (ICP) and Cerebral perfusion pressure (CCP) detectors were placed, and then she was sent to the surgical intensive care unit for care. Chinese medicine was consulted due to family requirements. In the early stage of treatment, acupuncture combined with Chinese medicine decoction was used to promote recovery of consciousness and detachment from the respirator. Acupuncture the points of the Yangming meridian of the hands and feet (LI11, ST36) to nourish Qi and blood, acupoints of the gallbladder meridian (GB39) to strengthen the function of muscles and bones, acupoints of the spleen meridian (SP3) to regulate the stomach, acupoints of the lung meridian (LU5, LU7) strengthens the exhalation function, and cooperates with the large intestine meridian and stomach meridian (LI4, ST36), and add come of the acupoints awaken the consciousness to deal with coma. Traditional Chinese medicine decoction treatment is based on the main principles of nourishing Qi and nourishing blood, promoting blood circulation and removing blood stasis. Combining with the prescriptions of nourishing gastrointestinal function, improving lung function, and refreshing the mind to consolidate the therapeutic effects. The patient successfully detached from the respirator and was transferred to the general ward. Then, she was discharged after regaining consciousness, and her speech ability and muscle strength had progressed. The patient recovered well after the coordinated treatment of traditional Chinese medicine. The case report was used to provide treatment experience for clinical reference.
【Keywords】
Traumatic brain injury；conscious coma；integrated Chinese and Western medicine；acupuncture；Chinese medicine
261.5 中西医结合早期介入处置颅脑损伤之病例报告
