首都医科大学附属北京中医医院 急诊科, 北京, 100010
收稿:2025-10-15,
修回:2025-12-23,
录用:2026-01-16,
网络首发:2026-02-28,
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谢梦迪, 王爽, 安然, 等. 1例热射病合并支气管哮喘急性发作患者的中西医结合护理[DB/OL].中西医结合临床案例库, 2026.
XIE Mengdi, WANG Shuang, AN Ran, et al. Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Heat Stroke Complicated by Acute Bronchial Asthma Attack[DB/OL].Clinical Archives of Integrative Medicine, 2026.
谢梦迪, 王爽, 安然, 等. 1例热射病合并支气管哮喘急性发作患者的中西医结合护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202510150004.
XIE Mengdi, WANG Shuang, AN Ran, et al. Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Heat Stroke Complicated by Acute Bronchial Asthma Attack[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202510150004.
总结1例热射病合并支气管哮喘急性发作患者的中西医结合护理经验。护理要点包括严格遵循《中国热射病诊断与治疗指南》制定精准护理措施;结合中医暑病理论,精准把握中医护理干预时机;采用针灸联合艾灸疗法,调理肠道功能;实施中药保留灌肠,促进胃肠蠕动、通腑泄热;同时给予患者经口气管插管机械通气支持、快速降温、抗感染及营养支持等中西医结合治疗与护理措施。经系统干预后,患者最终好转出院,本案例为临床同类患者的中西医结合护理提供了参考依据。
This article summarizes the integrated Traditional Chinese and Western medicine nursing experience for a patient with heat stroke complicated by acute bronchial asthma attack. Key nursing measures included: formulating precise nursing interventions based on the Chinese Guidelines for Diagnosis and Treatment of Heat Stroke; accurately timing Traditional Chinese Medicine (TCM) nursing interventions guided by TCM theory of summerheat diseases; applying acupuncture combined with moxibustion to regulate intestinal function; administering Chinese herbal retention enema to promote gastrointestinal motility, purge heat, and relieve stagnation; and implementing integrated treatments such as orotracheal intubation with mechanical ventilation, rapid cooling, anti-infection therapy, and nutritional support. Through systematic interventions, the patient's condition improved, leading to successful discharge. This case provides a reference for the clinical nursing of similar patients using an integrated Chinese-Western approach.
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