中西医结合诊治新型冠状病毒肺炎的几点思考

Considerations on diagnosis and treatment of COVID-19 with integrated Chinese and western medicine

结合病案1则,探讨中西医结合诊疗新型冠状病毒肺炎的几个共性问题。认为本病患者除呼吸道表现外,消化道症状同样较为突出。早期诊断及治疗评价将肺部CT检查和病毒核酸检查综合分析;中期着重毒痰瘀,用药防肝损;晚期应肺肠同治;恢复期多健脾益肺,活血化瘀。

Several common problems in the diagnosis and treatment of coronavirus disease 2019(COVID-19)with integrated Chinese and western medicine were discussed based on one case record.It is believed that digestive tract symptoms are also prominent in patients with COVID-19 besides respiratory tract manifestations.Early diagnosis and treatment evaluation include comprehensive analysis of CT examination of the lungs and virus nucleic acid examination.At the middle stage,emphasis is placed on the toxic phlegm and blood stasis,and prevention of liver damage during medication.At the advanced stage the lungs and intestines should be treated simultaneously.During the recovery period it is appropriate to adopt the methods of strengthening the spleen and tonifying the lung,activating blood circulation and removing blood stasis.