综合医院呼吸科危重症患者中医会诊要点  

Key Points of Traditional Chinese Medicine Consultation on Critical Patients in Pneumology Department of General Hospitals

作　　者：卢世秀[1] 

机构地区：[1]北京大学首钢医院,北京市石景山区晋元庄路9号100144

出　　处：《中医杂志》2015年第1期27-30,共4页Journal of Traditional Chinese Medicine

摘　　要：综合医院呼吸科危重症患者治疗中常见问题包括缺乏整体观、不愿中医参与治疗以及不能合理使用中药。中医科常被呼吸科邀请会诊解决的临床症状有严重咳喘、持续发热、胃肠症状、排尿不畅、顽固性水肿等。在会诊中应以中医理论为本,坚持中医治疗特色,主要体现中医整体观、衡动观、正气观;坚持中西医结合,以辨证论治为原则。危重患者病情复杂多变,治疗应抓住疾病的主线,即抓主证、病机,才能准确地遣方用药。The common problems in the treatments of critical patients in Pneumology Department of general hospitals are lack of holistic view,rejection of traditional Chinese medicine（ TCM） and irrational application of Chinese medicinals. TCM department are often invited to consult on severe coughing and asthma,constantly fevering,gastrointestinal symptoms,difficulty in urination,refractory edema and so on. TCM theories should be the basics in consultations and TCM＇s unique features should be carried on,which are holistic view,dynamic view and healthy qi view. We need to take syndrome differentiation and treatment as a principle while in adherence to the combination of western medicine and TCM. The manifestaions of the disease in critical patients are complicated and changing fast so treatments should focus on the main stream of the disease,which means to get the main syndromes and pathogenesis,so as to prescribe precisely.

关 键 词：呼吸危重症 中医药疗法 咳嗽 发热 

分 类 号：R259[医药卫生—中西医结合]