小儿病毒性肺炎中西医结合治疗——400例报告

作者	单位
张梓荆	中国医学科学院儿科研究所
高丽梅	中国医学科学院儿科研究所
韩秀兰	中国医学科学院儿科研究所
王之梁	中国医学科学院儿科研究所
高旭	北京市昌平县医院儿科
朱书情	北京市昌平县医院儿科

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中文摘要:

1976年冬～1978年春我们选择疑似病毒性肺炎病例进行中西医结合治疗,同时对大部分病例进行咽拭子病毒分离及/或双份血清检查,本文为中西医结合治疗病毒性肺炎400例的总结报告。病原学工作我们对小儿病毒性肺炎(包括毛细支气管炎)患

英文摘要:

An investigation of TCM-WM treatment of viral pneumonia in 400 clinically diagnosed cases was carried out in 1976- 1978.Specimens of throat swabs and paired sera were obtained from 242 out of the 400 cases.Viral agents were demonstrated with viral isolation and/or serodiagnosisin 138 of the 242 cases,which included 53 cases of respiratory syncytial virus infection, 41 cases of adenovirus infection,9 cases of influenza infeetion,6 cases of parainfluenza infection,and 25 cases with an increase in antibodies of 4-fold or over against two or more viruses inpaired sera. The 400 patients with viral pneumonia were mostly infants and young children and were treated with traditional Chinese therapy and western symptomatic therapy,such as sedation,oxygenation and adequate fluid intaldng.Antibiotics were not used in most patients.The result of the combined therapy in viral pneumonia proved to be effective. (1)60 cases of adenovirus pneumonia were treated with drugs for ventilating and smoothing a troubled lung and for removing toxic heat at the initial acute stage of the disease,with diagnosis and treatment based on an overall analysis of symptoms and signs at the intermediate stage,and with the method of consolidating the constitution at the critical stage so as to strengthen the patients’ resistance against collapse and shock.55 of them recovered and 5 died,the mortality being 8.3%. (2)Among 269 cases of pneumonia due to other respiratory viruses,63 cases were caused by RS virus,12 by influenza virus,and 9 by parainfluenza virus,the etiological agents of the rest being undemonstrable.All patients recovered under the treatment with the traditional Chinese medicine.During 1976-1977,131 cases were treated with the methods of ventilating and smoothing a troubled lung and removing toxic heat and activating the blood circulation to eliminate blood stasis.The results showed that 111 cases recovered completely,13 cases improved significantly,and 7 cases were cured by a change to antibiotics when complications with bacterial infections occurred.During 1977-1978,two groups of patients were treated with two different traditional Chinese methods.The method of removing toxic heat and activating the blood circulation to eliminate blood stasis was used in the first group(59 cases),whereas the method of removing toxic heat and resolving phlegm and relieving cough was used in the second group(45 eases).It was evident that chest signs disappeared more rapidly in the second group than in the first group.Injectio of Ticrasma Quassioides Benn Alkaloid prepared from Arbor Ticrasma Quassioides and Injectio of Linalor prepared from Flos Lonicerae were each used in 17 cases.Both showed satisfactory results. (3)71 cases of bronchiolitis were treated with traditional Chinese medicine.It was more effective to use Shegan Mahuang Tang(射干麻黄汤,Belamcanda Rhizome and Ephedra Decoction)in the treatment of patients with cold symptoms in the exterior and to use Ma Xing Shi Gan Tang(麻杏石甘汤,Ephedra-Almond-Gypsum-Liquorice Decoction)in the treatment of patients with heat symptom-complex,such as a yellowish coating on the reddened tongue.

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