

浏览全部资源
扫码关注微信
北京朝阳中西医结合急诊抢救医院 心内科, 北京, 100022
Received:17 September 2025,
Revised:2025-10-05,
Accepted:21 October 2025,
Published Online:26 December 2025,
移动端阅览
WU Dan. Integrated Traditional Chinese and Western Medicine Nursing Report for a Patient with Post-CABG Atelectasis Complicated by Type I Respiratory Failure[DB/OL].Clinical Archives of Integrative Medicine, 2025.
WU Dan. Integrated Traditional Chinese and Western Medicine Nursing Report for a Patient with Post-CABG Atelectasis Complicated by Type I Respiratory Failure[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI: 10.12209/CAIM202509170001.
本文总结1例开胸术后肺不张并发I型呼吸衰竭患者治疗和护理的过程。通过给予患者无创呼吸机辅助通气,联合抗感染、雾化吸入及化痰治疗,基于中医辨证,采用耳穴压丸、六字诀呼吸法联合当归六黄汤加味中医干预,有效改善冠脉旁路移植术后肺不张并发I型呼吸衰竭的症状。
This article summarizes the treatment and nursing process of a patient with post-thoracotomy atelectasis complicated by Type I respiratory failure. The patient received non-invasive ventilator-assisted ventilation combined with anti-infection therapy, nebulization, and expectorant treatment. Based on Traditional Chinese Medicine (TCM) syndrome differentiation, interventions such as auricular acupressure with seed embedding, the Liuzijue breathing technique, and modified Danggui Liuhuang Decoction were applied, effectively improving symptoms of post-coronary artery bypass grafting (CABG) atelectasis complicated by Type I respiratory failure.
梁翠柳 , 陈美莲 , 林美玲 , 等 . 集束化护理在肺结核合并Ⅰ型呼吸衰竭AIRVO呼吸湿化治疗仪治疗中的效果 [J]. 国际医药卫生导报 , 2021 ( 9 ): 1342 - 1345 .
LIANG C L , CHEN M L , LIN M L , et al . The Effect of Clustered Nursing in the Treatment of Pulmonary Tuberculosis Complicated with Type I Respiratory Failure Treated with AIRVO Respiratory Humidification Device [J]. International Medical and Health Herald , 2021 ( 9 ): 1342 - 1345 . (in Chinese)
邓金霞 , 卢丽华 , 陈海玲 . 集束性护理在Ⅰ型呼吸衰竭患者使用高流量湿化仪应用效果的研究 [J]. 中国医药科学 , 2020 , 10 ( 4 ): 186 - 188, 205 .
DENG J X , LU L H , CHEN H L . Study on the application effects of cluster nursing in patients with Type Ⅰ respiratory failure using a high-flow humidifier [J]. China Med Pharm , 2020 , 10 ( 4 ): 186 - 188, 205 . (in Chinese)
冀利超 , 周娟娟 , 李悦 , 等 . 经鼻高流量湿化氧疗联合强化心理护理对重症肺炎合并Ⅰ型呼吸衰竭患者肺功能及血气指标的影响 [J]. 现代医学与健康研究电子杂志 , 2023 , 7 ( 15 ): 125 - 127 .
JI L C , ZHOU J J , LI Y , et al . The impact of nasal high-flow humidified oxygen therapy combined with intensified psychological care on pulmonary function and blood gas indicators in patients with severe pneumonia complicated with type I respiratory failure [J]. Mod Med Health Res Electron J , 2023 , 7 ( 15 ): 125 - 127 . (in Chinese)
王爱苹 , 秦颖 , 郑美 , 等 . 赋能心理联合放松训练对老年抑郁症患者焦虑症状和睡眠质量的影响 [J]. 精神医学杂志 , 2025 , 38 ( 1 ): 81 - 84 .
WANG A P , QIN Y , ZHENG M , et al . The impact of empowerment psychological combined relaxation training on anxiety symptoms and sleep quality in elderly patients with depression [J]. J Psychiatry , 2025 , 38 ( 1 ): 81 - 84 . (in Chinese)
周国花 , 刘毅君 , 曾丽清 . 低位管路在预防重型脑外伤患者呼吸机相关性肺炎中的价值 [J]. 内科急危重症杂志 , 2020 , 26 ( 1 ): 60 - 62 .
ZHOU G H , LIU Y J , ZENG L Q . The value of low-pressure pipelines in preventing ventilator-associated pneumonia in patients with severe brain trauma [J]. J Crit Care Intern Med , 2020 , 26 ( 1 ): 60 - 62 . (in Chinese)
胡珊 , 刘国栋 . 早期密集拍背、深呼吸咳嗽及体位引流在开胸术后肺不张患者中的作用 [J]. 医药高职教育与现代护理 , 2022 , 5 ( 4 ): 322 - 323, 327 .
HU S , LIU G D . Effect of early intensive backslapping, deep-breathing cough and postural drainage in patients with atelectasis after thoracotomy [J]. Med High Vocat Educ Mod Nurs , 2022 , 5 ( 4 ): 322 - 323, 327 . (in Chinese)
吴玉婷 , 赵田甜 , 赵恒 , 等 . 五行音乐疗法结合耳穴埋豆法对慢性阻塞性肺疾病患者焦虑和抑郁情绪的缓解效果研究 [J]. 实用中西医结合临床 , 2024 , 24 ( 11 ): 114 - 116, 128 .
WU Y T , ZHAO T T , ZHAO H , et al . Study on the relieving effects of five elements music therapy combined with ear point burying bean method on anxiety and depression in patients with chronic obstructive pulmonary disease [J]. Pract Clin J Integr Tradit Chin West Med , 2024 , 24 ( 11 ): 114 - 116, 128 . (in Chinese)
叶青艳 , 顾奕婷 , 宗南伟 , 等 . 中药联合耳穴治疗儿童反复呼吸道感染临床观察 [J]. 世界中医药 , 2021 , 16 ( 8 ): 1307 - 1310 .
YE Q Y , GU Y T , ZONG N W , et al . Clinical Observation on the Treatment of Children with Recurrent Respiratory Infections by Using Traditional Chinese Medicine Combined with Ear Point Therapy [J]. World Chin Med , 2021 , 16 ( 8 ): 1307 - 1310 . (in Chinese)
褚楚 , 朱益敏 . 背部拔罐联合耳穴贴压对肺部感染患者的疗效分析 [J]. 中国典型病例大全 , 2025 ( 2 ): 735 - 738 .
CHU C , ZHU Y M . Analysis of the Therapeutic Effect of Back Cupping Combined with Ear Acupoint Pressing on Patients with Pulmonary Infection [J]. Chin Typ Case Database , 2025 ( 2 ): 735 - 738 . (in Chinese)
杨义 , 李敏 , 王新星 , 等 . 六字诀呼吸操对慢性阻塞性肺疾病急性加重期患者临床疗效观察 [J]. 基层中医药 , 2024 , 3 ( 9 ): 6 - 11 .
YANG Y , LI M , WANG X X , et al . Clinical effect of six-character breathing exercise on patients with acute exacerbation of chronic obstructive pulmonary disease [J]. Basic Tradit Chin Med , 2024 , 3 ( 9 ): 6 - 11 . (in Chinese)
赵艳丽 , 杜桂芹 , 刘艳芳 , 等 . 六字诀呼吸操康复训练对老年支气管哮喘缓解期患者肺功能、哮喘控制效果、睡眠质量的影响 [J]. 哈尔滨医药 , 2024 , 44 ( 4 ): 134 - 136 .
ZHAO Y L , DU G Q , LIU Y F , et al . The effect of the six-character breathing exercise rehabilitation training on the pulmonary function, asthma control outcome, and sleep quality of elderly patients with bronchial asthma in the remission stage [J]. Harbin Med J , 2024 , 44 ( 4 ): 134 - 136 . (in Chinese)
赵艳丽 , 刘艳芳 , 冉雪梅 , 等 . 督灸联合六字诀呼吸操对老年支气管哮喘患者哮喘控制、肺功能及生命质量的影响 [J]. 海南医学 , 2024 , 35 ( 13 ): 1943 - 1947 .
ZHAO Y L , LIU Y F , RAN X M , et al . Effects of Du moxibustion combined with six-character breathing exercises on asthma control, lung function, and quality of life in elderly patients with bronchial asthma [J]. Hainan Med J , 2024 , 35 ( 13 ): 1943 - 1947 . (in Chinese)
巨君芳 , 何迎春 , 李强 . 六字诀呼吸操联合穴位按摩对COPD稳定期患者症状和生活质量的影响 [J]. 浙江医学 , 2022 , 44 ( 9 ): 970 - 973 .
JU J F , HE Y C , LI Q . Efficacy of Liuzijue breathing exercise combined with acupoint massage for improving symptoms and quality of life in patients with stable COPD [J]. Zhejiang Med J , 2022 , 44 ( 9 ): 970 - 973 . (in Chinese)
张美林 , 王芳 , 易静 , 等 . 坐卧式“六字诀” 对慢性阻塞性肺疾病急性加重无创通气患者BODE指数及生活质量的影响 [J]. 实用医院临床杂志 , 2021 , 18 ( 4 ): 5 - 8 .
ZHANG M L , WANG F , YI J , et al . The effect of sitting and lying Liu-zi-Jue on BODE index and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease and non-invasive ventilation [J]. Pract J Clin Med , 2021 , 18 ( 4 ): 5 - 8 . (in Chinese)
黄书花 , 张玉娇 , 王英哲 , 等 . 自血疗法联合耳穴压豆对支气管哮喘患者临床疗效、肺功能及炎性因子的影响 [J]. 湖北中医药大学学报 , 2022 , 24 ( 5 ): 95 - 97 .
HUANG S H , ZHANG Y J , WANG Y Z , et al . Effects of autohemotherapy combined with auricular bean pressing on curative effect, pulmonary function and inflammatory factors in patients with bronchial asthma [J]. J Hubei Univ Chin Med , 2022 , 24 ( 5 ): 95 - 97 . (in Chinese)
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621