中医药研究论丛

282.11肺腺癌患者深层静脉血栓而脑梗塞经中医 针灸治疗後再次脑梗塞之病例报告

TJ TCM.28(2) : 163-173, 2025

DOI : 10.6516/TJTCM.202509_28(2).0011

肺腺癌患者深层静脉血栓而脑梗塞经中医针灸治疗後再次脑梗塞之病例报告

Case Report: Recurrent Cerebral Infarction Following Acupuncture Treatment in a Patient with Lung Adenocarcinoma and Deep Vein Thrombosis

杨才慧1游荣圣1,2林原禾1,2林新杰1,2,*

1义大癌治疗医院中医科,高雄,台湾

2义守大学学士後中医系,高雄,台湾

【摘要】

65岁女性患者有高血压、肺腺癌病史。2022/06/11右下肢疼痛,并发红肿

热胀,曾至他院骨科门诊就医,诊为深层静脉栓塞,开立药物嘱其服用。患者

回家後曾自行推拿右小腿疼痛处。2022/06/13下午因晕眩与左侧肢体无力送至

义大医院急诊就诊,MRI显示急性右侧颞叶梗塞。後转至神经内科病房进行後

续治疗,2022/06/21会诊中医进行中医针灸治疗。因状况稳定,於2022/06/22

出院,中医会诊共计一次。2022/06/25因再次中风而入院,并继续针灸治疗,

本篇将探讨深层静脉血栓与针灸安全性之关系,提供医界临床叁考。

【关键词】深层静脉血栓、脑梗塞、肺腺癌、中医针灸

【Summary】

A 65-year-old female patient with a history of hypertension and lung adenocarcinoma. On June 11, 2022, she experienced pain in her right lower limb accompanied by redness, swelling, and heat. She visited the orthopedics outpatient clinic at another hospital and was diagnosed with deep vein thrombosis and prescribed medication. After returning home, she performed self-massage on the painful area of her right calf. On the afternoon of June 13, 2022, she was sent to the emergency department of E-Da Hospital due to dizziness and left-sided limb weakness. MRI showed acute right temporal and parietal infarction. She was then transferred to the neurology ward for subsequent treatment, and on June 21, 2022, she received a consultation for traditional Chinese medicine (TCM) acupuncture treatment. Her condition stabilized, and she was discharged on June 22, 2022, after a single TCM consultation. On June 25, 2022, she was readmitted due to another stroke and continued with acupuncture treatment. This report will explore the relationship between deep vein thrombosis and the safety of acupuncture, providing clinical reference for the medical community.

【Keywords】Deep vein thrombosis; Cerebral infarction;Lung adenocarcinoma; Acupuncture