中医辨证施治配合西药治疗渗出期和吸收期传染性非典型肺炎10例临床报告

Clinical report of 10 cases with SARS at exudative and absorbent phases treated by integrated traditional Chinese and western medicine

[目的]观察中西医结合治疗渗出期和吸收期传染性非典型肺炎的临床疗效。[方法]渗出期治以清热宣肺 ,开闭平喘 ,解毒化瘀 ,吸收期治以益气养阴 ,健脾除湿清热 ;并辅以西医抗菌、抗病毒、对症支持疗法、镇咳祛痰、保肝及补充人体白蛋白、免疫增强治疗及应用激素甲基强的松龙、吸氧或无创呼吸机辅助治疗等。[结果]10例患者中9例痊愈出院 ,1例好转。患者完全退热 (平均6.0d) ,患者X光胸片炎症较快吸收 ,血清ALB及A /G经治疗恢复正常 ,PO2、O2sat较治疗前明显提高 (P<0.01) ,WBC计数恢复正常 (平均9.67在d)。[结论]中西医结合治疗渗出期和吸收期“非典”患者有效 。

Objective To observe the clinical effect of integrated traditional Chinese and western medicine (integrated TCM and WM) in SARS patients at exudative and absorbent phases. At the exudative phase the therapeutics were clearing away heat, ventilating lung qi, stopping asthma and removing toxin and blood stasis.At the absorbent phase the therapeutics were supplementing qi and yin, invigorating the spleen to eliminating dampness and clearing away heat.The supplementary treatment included anti-bacteria and anti-virus, supportive measures, antibechic and expectorant drug, and so on. Nine patients were cured and one improved. The average defervescence was 6.0 days. Serum ALB and A/G restored to normal. PO2 and O2sat enhanced obviously. The amount of WBC recovered rapidly mean 9.67 d. [Conclusion] There is a good therapeutic effect of integrated TCM and WM on SARS patients at the exudative and absorbent stage. It is worth researching deeply.