Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Severe Case of Psittacosis Complicated with Multiple Underlying Diseases

LIU Yilin; WANG Jing

doi:10.12209/CAIM202602230003

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Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Severe Case of Psittacosis Complicated with Multiple Underlying Diseases

更新时间：2026-04-30

- Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Severe Case of Psittacosis Complicated with Multiple Underlying Diseases
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  上海中医药大学附属曙光医院 EICU，上海， 201203
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202602230003
  CLC：
- Received：23 February 2026，
  
  Revised：2026-04-19，
  
  Accepted：20 April 2026，
  
  Online First：30 April 2026，
- 稿件说明：
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LIU Yilin, WANG Jing. Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Severe Case of Psittacosis Complicated with Multiple Underlying Diseases[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

LIU Yilin, WANG Jing. Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Severe Case of Psittacosis Complicated with Multiple Underlying Diseases[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202602230003.

摘要

本文总结1例重症鹦鹉热合并脑出血后遗症、高血压病3级（高危）及癫痫的老年患者的中西医结合护理体会。针对患者因重症鹦鹉热衣原体感染引发高热咳嗽、痰多难咯与右侧肢体活动障碍，且叠加多重基础病的特点，通过全面护理评估并结合鹦鹉热特异性化验结果，确立“精准抗感染、通畅气道、稳控基础病、防并发症”的核心目标，创新应用“三维气道廓清技术”“辨证施护+基础病一体化管理”模式，整合西医针对性抗感染治疗与中医穴位干预、中药序贯治疗等措施，有效改善患者呼吸功能，控制感染，保护肢体功能，降低并发症风险。患者经14 d治疗护理后康复出院，随访1个月病情稳定，无复发及并发症发生，可为临床同类复杂病例的护理提供借鉴。

Abstract

This article summarizes the integrated Traditional Chinese and Western Medicine （TCM-WM） nursing approach for an elderly patient with severe psittacosis complicated by sequelae of cerebral hemorrhage， grade 3 （high-risk） hypertension， and epilepsy. Addressing the clinical challenges of high fever， cough， refractory sputum， and right-sided limb dysfunction due to Chlamydia psittaci infection， alongside multiple comorbidities， a comprehensive nursing assessment and psittacosis-specific laboratory results guided the establishment of core objectives： targeted anti-infection therapy， airway clearance， stabilization of underlying conditions， and complication prevention. Innovative strategies included a "three-dimensional airway clearance technique" and a "syndrome differentiation-based nursing + integrated comorbidity management" model， combining Western antimicrobial therapy with TCM interventions （e.g.， acupoint stimulation and sequential herbal medicine）. These measures effectively improved respiratory function， controlled infection， preserved limb mobility， and reduced complication risks. The patient recovered after 14 days of treatment and remained stable at the 1-month follow-up without recurrence or complications， offering a reference for managing similar complex cases.

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