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北京市健宫医院 重症医学科, 北京, 100054
收稿日期:2025-06-27,
修回日期:2025-08-15,
录用日期:2025-08-18,
网络出版日期:2025-09-23,
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CHEN Chuang. Integrated Traditional Chinese and Western Medicine in the Treatment of Bronchiectasis with Infection: A Nursing Case Study[DB/OL].Clinical archives of integrative medicine, 2025.
陈闯. 1例中西医联合治疗支气管扩张症合并感染的护理[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506270023.
CHEN Chuang. Integrated Traditional Chinese and Western Medicine in the Treatment of Bronchiectasis with Infection: A Nursing Case Study[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506270023.
本病例为88岁男性支气管扩张症合并感染患者,其高龄、基础病多(高血压、冠心病等)及病情复杂(合并新冠感染、消化道穿孔等),治疗护理难度大。治疗上予中西医联合治疗,西医予抗感染、化痰等,中医予沙参麦冬汤加减及耳穴压丸等,护理中评估患者多系统问题,实施病情监测、用药护理及中医调护等,关注并发症。此案例显示,中西医联合治疗时,全面护理评估、个性化护理计划及多学科协作至关重要,可为同类患者护理提供参考。
This case report describes an 88-year-old male patient with bronchiectasis complicated by infection, characterized by advanced age, multiple comorbidities (hypertension, coronary heart disease, etc.), and complex conditions (concurrent COVID-19 infection and gastrointestinal perforation), posing significant therapeutic and nursing challenges. The treatment combined Western medicine (antibiotics, expectorants) with Traditional Chinese Medicine (TCM), including modified Shashen Maidong Decoction and auricular acupressure. Nursing interventions focused on comprehensive assessment of multisystem issues, close monitoring, medication management, TCM-based care, and complication prevention. This case highlights the critical role of holistic nursing evaluation, individualized care planning, and multidisciplinary collaboration in integrated TCM-Western medicine approaches, offering a reference for similar cases.
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