摘要
脓毒性休克是重症医学面临的重要临床问题,随着人口的老龄化、肿瘤发病率上升及侵入性医疗手段的增加,脓毒症的发病率在不断上升,脓毒症休克病死率可高达50%以上。本文通过对老年脓毒症的中西医结合救治过程进行分析,该病例急性起病,因发热来诊,病情进展迅速,血白细胞、C反应蛋白、降钙素原、D-二聚体升高明显,各脏器功能指标迅速恶化出现休克、多器官功能障碍,经中西医综合治疗,患者感染指标好转,各脏器指标恢复正常。脓毒症虽来势凶猛,病情进展迅速,但只要治疗及时得当,患者能转危为安,中医药及时参与治疗对改善患者整体病情及预后具有重要意义。
Septic shock is an important clinical problem for intensive medicine.As the population aging,the incidence of cancer rises,and the number of invasive medical measures increases,as well as the incidence of sepsis,and the sepsis shock mortality rate can be as high as 50%above.This article analyzes the treatment of senile sepsis by integrated traditional Chinese and Western medicine.The case was acute onset,with the diagnosis of fever,and the disease progressed rapidly,white blood cell,C-reactive protein,procalcitonin,D-Dimer increased significantly,the indicators of various organs rapidly deteriorated.Through comprehensive treatment with traditional Chinese and Western medicine,the patient's infection index decreased,and the indicators of various organs returned to normal.Although sepsis is fierce and the progress is rapid,as long as the treatment is timely,the patient can turn crisis into safety.The early participation of Chinese medicine in the early stage of treatment is of great significance to improve the overall condition of the patient and it can improve the prognosis.
作者
付跃峰
孔令博
郭楠
姜尚上
苗青
李昕原
FU Yuefeng;KONG Lingbo;GUO Nan;JIANG Shangshang;MIAO Qing;LI Xinyuan(Intensive Care Unit,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《中国医药导报》
CAS
2019年第9期127-130,共4页
China Medical Herald
基金
国家自然科学基金青年基金项目(81703900)
北京中医药大学青年教师项目(2018-JYBZZ-JS061)
关键词
脓毒症
脓毒症休克
降钙素原
中西医结合
Sepsis
Septic shock
Procalcitonin
Integrated Chinese and Western medicine
作者简介
付跃峰(1985-),男,硕士;研究方向:中西医结合治疗急危重症;通讯作者:郭楠(1978-),女,硕士,副主任医师;研究方向:中西医结合急危重症。
