中医药研究论丛

262.6 中西医治疗反覆性脑出血之病例报告
TJ TCM.26(2) : 59-68, 2023
DOI : 10.6516/TJTCM.202306_26(2).0006
 
中西医治疗反覆性脑出血之病例报告
Treatment of recurrent intracerebral hemorrhage with Integrated Traditional
Chinese and Western Medicine- A Case Report
江万里1  陈嘉允1
1 彰化基督教医院中医部,彰化,台湾
【摘要】
本病例为一位48 岁男性,因双侧肢体无力、头痛,及眩晕已三天,於2018/10/02 就诊鹿港基督教医院,经头部电脑断层扫描後,显示为左侧颞叶脑实质出血,并於当日下午转至彰化基督教医院之加护病房接受治疗,当时患者之昏迷指数为E4M6V5,右侧肌力为4 分,左侧肌力为3 分。後续因生命徵象与病况稳定,於2018/10/04 转入普通病房持续接受治疗,并因双侧肢体无力,尤以左侧肢体为甚,故於当日会诊中医进行中西医结合治疗,住院期间左侧肌力一度减退至0 分,透过针灸及中药的帮助之下,本病患四肢肌力恢复良好,意识清醒,於2018/11/26 顺利出院,故藉此病例报告提出中药
搭配针灸之治疗经验,以供临床叁考。
【关键词】反覆性脑出血、中医、中西医结合、针灸、中药
 
Wan-Li Chiang1Jia-Yun Chen1
1Department of Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan
【Summary】
This case is a 48-year-old male who was sent to the Lukang Christian Hospital on 2018/10/02 due to bilateral limb weakness, headache, and dizziness for three days. In emergency room, the brain CT scan showed that intracerebral hemorrhage at left temporal lobe. Then he was transferred to the intensive care unit of Changhua Christian Hospital for treatment. At that time, the patient’s coma scale was E4M6V5, muscle power of right limb was 4, and the left one was 3. Subsequently, due to the vital signs and condition was stable, he was transferred to the general ward for treatment on 2018/10/04. In addition, due to bilateral limb weakness, especially the left limb, Chinese medicine was consulted for coordinated treatment of Chinese and Western medicine on the same day. During the hospitalization, the muscle power of the left side had been decreased to 0. Then, he was discharged after regaining consciousness, and his muscle power had progressed. The patient recovered well after the intervention of integrated Chinese and Western medicine. This case report was used to provide treatment experience of acupuncture and Chinese herbal medicine for clinical reference.
【Keywords】recurrent intracerebral hemorrhage, Chinese medicine, integrated
Chinese and Western medicine, acupuncture, Chinese herbal medicine.