中西医结合治疗肺结核及严重营养不良合并新型冠状病毒感染(危重型)1例  

Integrated Chinese and Western Medicine for Tuberculosis and Severe Malnutrition with Coronavirus Disease 2019(Critical Type):A Case Report

作　　者：周丹妮 李修洋[2] 赵雪菲 都爱博 高泽正 姚晨思 薛崇祥 孙郡 王涵 张传涛[7] 赵林华[2] 王强 王鹏 ZHOU Danni;LI Xiuyang;ZHAO Xuefei;DU Aibo;GAO Zezheng;YAO Chensi;XUE Chongxiang;SUN Jun;WANG Han;ZHANG Chuantao;ZHAO Linhua;WANG Qiang;WANG Peng(Gansu University of Chinese Medicine,Lanzhou,730101;Guang'anmen Hospital,China Academy of Chinese Medical Sciences;Traditional Chinese Medicine Hospital of Xinjiang Medical University;The Affiliated Hospital of Qingdao University;Beijing University of Chinese Medicine;The Affiliated Hospital of Changchun University of Chinese Medicine;Chengdu University of Traditional Chinese Medicine;Notheast International Hospital;People's Hospital of Tacheng Prefecture,Xinjiang Uyghur Autonomous Region)

机构地区：[1]甘肃中医药大学,甘肃省兰州市730101 [2]中国中医科学院广安门医院 [3]新疆医科大学附属中医医院 [4]青岛大学附属医院 [5]北京中医药大学 [6]长春中医药大学附属医院 [7]成都中医药大学 [8]东北国际医院 [9]新疆维吾尔自治区伊犁哈萨克自治州塔城地区人民医院

出　　处：《中医杂志》2023年第22期2363-2367,共5页Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划(2021YFE0201100,2022YFC0868300);新疆维吾尔自治区重大科技专项(2020A03004)。

摘　　要：报告中西医结合治疗肺结核及严重营养不良合并新型冠状病毒感染(危重型)患者1例。通过对该患者诊疗过程的回顾分析,在中医对“老态”“虚态”病因病机认识的基础上,针对危重症新型冠状病毒肺炎合并肺结核及严重营养不良多因体质及疫毒之邪侵袭造成肺、脾、肾等脏腑功能失调的情况,予以中西医疗法联合使用,西医以氧疗、抗新型冠状病毒、肠道营养支持、抗凝等治疗为主,中医先以气血阴阳并补兼温阳散寒、清热利湿为治法,后以补气养阴透热为治法,其中补中益气之法贯穿始终,最终明显改善患者症状并加快新型冠状病毒核酸转阴。We reported a case of a patient dignosed as tuberculosis and severe malnutrition with coronavirus disease 2019(critical type)treated with a combination of Chinese medicine and Western medicine.Through the retro?spective analysis of the diagnosis and treatment process of this patient,on the basis of Chinese medicine's understand?ing of the etiology and pathogenesis of“old state”and“deficient state”,the critical coronavirus pneumonia combined with pulmonary tuberculosis and severe malnutrition was mostly due to the physical condition and the invasion of epi?demic toxin,resulting in dysfunctions of the internal organs such as the lungs,spleens,kidneys and other organs.Based on the understanding of the cause and mechanism of the coronavirus disease,the treatment combined Chinese and Western medical therapies was given.The western medicine was used with the main treatments of oxygen therapy,anti-viral,intestinal nutritional support,and anti-coagulation,while the Chinese medicine was used by tonifying qi,blood,yin,and yang,warming yang and dissipating cold,and clearing heat and dampness,then tonifying qi,nour?ishing yin and eliminating heat,in which tonifying middle and replenishing qi ran through the whole process.The inte?grated treatment eventually improved the patient's symptoms and accelerated the negative conversion of nucleic acid of the coronavirus.

关 键 词：新型冠状病毒感染 肺结核 营养不良 补中益气 

分 类 号：R563.1[医药卫生—呼吸系统] R521[医药卫生—内科学]