主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (3): 1-4.doi: 10.3969/j.issn.2095-6606.2020.03.001

• 新型冠状病毒肺炎专题 •    下一篇

王庆国辨治新型冠状病毒肺炎急性呼吸窘迫综合征验案分析*

王永利1△, 武晓冬2△, 王雪茜3#, 石栓柱4, 吴丹1, 赵辉5, 刘春龙5, 王庆国3   

  1. 1 河北省张家口市中医院 河北 075000;
    2 中国中医科学院针灸研究所;
    3 北京中医药大学;
    4 张家口市传染病医院;
    5 河北省沧州中西医结合医院
  • 收稿日期:2020-02-18 出版日期:2020-05-30 发布日期:2020-06-09
  • 通讯作者: #王雪茜,女,博士,教授、主任医师,博士生导师
  • 作者简介:△王永利,男,主任医师;武晓冬,女,博士,主任医师,硕士生导师(并列第一作者)
  • 基金资助:
    *国家自然科学基金面上项目(No.81874448),北京中医药大学基本科研业务费项目(No.2020-JYB-YJ-001),第四批全国中医(临床、基础)优秀人才研修项目,河北省沧州市科技局项目(No.201101023)

A case report of Wang Qingguo’s successful treatment of COVID-19 induced severe acute respiratory distress syndrome*

Wang Yongli1△, Wu Xiaodong2△, Wang Xueqian3#, Shi Shuanzhu4, Wu Dan1, Zhao Hui5, Liu Chunlong5, Wang Qingguo3   

  1. 1 Zhangjiakou Hospital of Traditional Chinese Medicine, Hebei 075000;
    2 Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences;
    3 Beijing University of Chinese Medicine;
    4 Zhangjiakou Infectious Diseases Hospital;
    5 Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine
  • Received:2020-02-18 Online:2020-05-30 Published:2020-06-09

摘要: 新型冠状病毒肺炎属于中医学疫病范畴。本文通过对王庆国教授治疗的1例新冠肺炎急性呼吸窘迫综合征的验案分析,为中医临床治疗本病提供参考。该男性患者56岁,于2020年1月28日因发热、咳嗽住院;1月29日经核酸检测确诊为新型冠状病毒肺炎;1月31日出现呼吸衰竭,急性呼吸窘迫综合征,多器官功能障碍综合征,给予气管插管,镇静下有创呼吸机辅助呼吸;2月1日CT检查见肺大部实变,血气分析PaCO2 50.1 mmHg,PaO2 40.5 mmHg,请王庆国教授会诊,经中医治疗病情逐渐好转;2月10日恢复自主呼吸;2月14日自主呼吸下指氧95%以上,符合出院标准。在本案治疗中,中医采取口服与灌肠两种给药途径,不拘一方、依证立法,重剂愈沉疴,体现了中医治疗本病危重症的确凿疗效。

关键词: 新型冠状病毒肺炎, 急性呼吸窘迫综合征, 案例报告, 名老中医

Abstract: COVID-19 is one of the pestilences in traditional Chinese medicine. Through the analysis of a case of acute respiratory distress syndrome (ARDS) treated by professor Wang Qingguo, this paper aimed to provide reference for clinical management of this disease in traditional Chinese medicine. A 56-year-old male patient was hospitalized on January 28 due to fever and cough. COVID-19 was confirmed by nucleic acid test on January 29. Respiratory failure, acute respiratory distress syndrome and multiple organ dysfunction syndrome occurred on January 31. Tracheal intubation was given, and invasive ventilator assisted breathing was performed under sedation. On February 1, CT examination showed the majority of lung consolidation, and blood gas analysis showed PaCO2 was 50.1 mmHg and PaO2 was 40.5 mmHg. Professor Wang Qingguo was invited to give the treatment,then the condition gradually improved after traditional Chinese medicine (TCM) treatment. On February 10, the patient resumed spontaneous breathing. On February 14, oxygen saturation was greater than 95% on spontaneous breathing, meeting the discharge criteria. In this case,a combination of oral administration and enema administration was used of traditional Chinese medicine. The key to the effectiveness was not limited to a single prescription,but change under dialectical treatment. Meanwhile, increased dosages for severe conditions were necessary. This case demonstrates solide ffect of traditional Chinese medicine in treating severe cases of COVID-19.

Key words: COVID-19, severe acute respiratory distress syndrome, case report, prominent TCM doctors

中图分类号: 

  • R563.1