新型冠状病毒肺炎重型患者气营两燔证的中西医探讨  

Chinese and Western Medicine Study on Vigorous Heat of Qi and Ying Type in Severe COVID-19 Patients

作　　者：张淼[1,2] 欧阳嘉慧 白瑞娜 李立志[1] ZHANG Miao;OUYANG Jia-hui;BAI Rui-na;LI Li-zhi(Cardiovascular Center,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091;Graduate School of China Academy of Chinese Medical Sciences,Beijing 100700;Graduate School of Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]中国中医科学院西苑医院心血管病中心,北京100091 [2]中国中医科学院研究生院,北京100700 [3]北京中医药大学研究生院,北京100029

出　　处：《中国中西医结合杂志》2020年第7期863-867,共5页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局中医药行业科研专项(No.201007001);国家重点研发计划(No.2017YFC1700100,No.2017YFC1700102);国家自然科学基金资助项目(No.81603489)。

摘　　要：新型冠状病毒肺炎(简称新冠肺炎)重型患者气营两燔证主要表现为气分热盛证、心营热扰证及血分瘀热证,西医多表现为呼吸困难和(或)低氧血症,严重者可快速进展为急性呼吸窘迫综合征、脓毒症休克、凝血功能障碍及多器官功能衰竭等。新冠肺炎的气营两燔证与脓毒症在临床表现、发生进展及治疗等方面有一致性,为中医药治疗新冠肺炎重型患者气营两燔证提供了理论依据。Vigorous heat of Qi and Ying type in severe coronavirus disease 2019(COVID-19)patients mainly shows heat syndrome in Qi,thermal perturbation syndrome in heart and Ying and stasis heat syndrome in blood,it mainly shows dyspnea and(or)hypoxemia in Western medicine,severe cases can be rapidly develop for acute respiratory distress syndrome,sepsis shock,blood coagulation dysfunction and multiple organ failure and so on.There is a consistency between the vigorous heat of Qi and Ying type in COVID-19 and sepsis in clinical manifestations,development and treatment,which provides theoretical basis for the treatment of severe COVID-19 patients with vigorous heat of Qi and Ying type.

关 键 词：新型冠状病毒肺炎 重型患者 气营两燔证 脓毒症 

分 类 号：R563.1[医药卫生—呼吸系统]