小儿脑外伤后遗无泪症案(英文)

Alacrimia after child traumatic brain injury

目的:报道针刺治疗1例小儿脑外伤后遗无泪症的结果。方法:1位2岁3月龄外伤后遗右眼无泪的儿童。穴位选择:右侧阳白、攒竹、瞳子髎、四白、迎香、翳风、风池,双侧合谷、太冲。风池、合谷、太冲穴不留针,余穴留针20分钟。揿针治疗每次选用1组穴位(①攒竹、丝竹空、四白、上迎香:②太阳、翳风、迎香、阳白),常规针刺治疗后,进行揿针治疗,留针48小时。针刺治疗隔日一次,3次/周。结果:5次治疗后,患儿哭闹时见右眼泪液充盈,10次治疗后,患儿哭闹时见双眼大量泪液及双鼻腔鼻涕流出,15次治疗后,哭闹时双眼泪液及鼻腔鼻涕分泌正常,与脑外伤前无差别。结论:本例小儿脑外伤后遗无泪症采用针刺治疗,取得显著疗效。

Objective: To report the clinical effects of acupuncture on alacrimia after child traumatic brain injury.Methods: One child with the alacrimia on the right eye after traumatic injury, aged 2 years and 3 months, was treated with acupuncture. The acupoint selection: Yángbái(阳白 GB 14), Cuánzhú(攒竹 BL2), T6 ngzǐliáo(瞳子髎 GB 1), Sìbái(四白 ST 2), Yingxiāng(迎香 LI 20), Yìfēng(翳风 TE 17) and Fēngchí(风池 GB 20) on the right side, as well as bilateral Hégǔ((合谷 LI 4) and Tàichōng(太冲 LR 3). The quick needling technique was applied to GB 20, LI 4 and LR 3 and the needles were retained for 20 min in the rest acupoints. In the embedding needle therapy, one group of acupoints was selected in each treatment,(Group No.1: BL 2, Sizhúkōng(丝竹空 TE 23), ST 2 and Shàngyíngxiāng(上迎香 EX-HN 8);Group No. 2:Tàiyáng(太阳EX-HN 5), TE 17, LI 20 and GB 14)The embedding needle therapy was provided after the routine acupuncture treatment and the thumb-tack needles were embedded subcutaneously for 48 hours.The treatment with acupuncture was given once every other day. three times a week.Results: After 5 treatments, a full of tears was visible on the right eye when crying. After 10 treatments,there was a large amount of tears on the eyes and nasal discharge when crying. After 15 treatments, the lacrimal secretion and nasal secretion were normal when crying, without differences from the condition before traumatic brain injury.Conclusion: Acupuncture achieves the significant therapeutic effects on alacrimia after the child traumatic brain injury.