中西医结合救治难治性重型颅脑损伤

作者	单位
王馨然	扬州大学医学院附属医院中医科
武永康	扬州大学医学院附属医院中医科
缪华	扬州大学医学院附属医院脑外科

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中文摘要:

用中西医结合的方法救治常规西医处理困难或无效的重型颅脑损伤患者３８例，存活率６８．４％。作者强调采取以下措施：（１）早插鼻饲管；（２）以增液汤和生脉饮为主方，用以养阴益气；（３）应用大剂量胞二磷胆碱、安宫牛黄丸、血府逐瘀汤，以促进苏醒；（４）肺部感染严重，抗生素治疗无效时，选用沙参麦冬汤及涤痰汤加减治疗。并用现代病理生理和药理理论对治疗方法进行了探讨。

英文摘要:

cases of severe intractable head injuries were treated by TCM-WM treatment, the survival rate was 68.4%, which was difficult or ineffective for Western medicine treatment. The author lay emphasis on taking the following measures: (1) Place nasal feeding tube in the nose as early as possible; (2) Take Zenye Tang and Shengmai Yin as chief prescription for nourishing Yin and replenishing Qi;(3) Take large dose of citicoline, Angong Niuhuang Wan and Xuefu Zhuyu Tang to promote resuscitation;(4) When pulmonary infection was serious and antibiotic ineffective, Shashen Maidong Tang and Ditan Tang etc.could be used.

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