中国中医科学院西苑医院 肺病科, 北京, 100091
赵霞霞, E-mail: 1143586412@qq.com
收稿:2026-06-02,
修回:2026-07-11,
录用:2026-07-13,
网络首发:2026-09-20,
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向婷婷, 陈莉苹, 樊茂蓉, 等. 1例原发性气管支气管肺淀粉样变性继发咯血患者的中西医结合护理病例报告[DB/OL].中西医结合临床案例库, 2026.
XIANG Tingting, CHEN Liping, FAN Maorong, et al. A Case Report of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Primary Tracheobronchopulmonary Amyloidosis Complicated by Hemoptysis[DB/OL].Clinical Archives of Integrative Medicine, 2026.
向婷婷, 陈莉苹, 樊茂蓉, 等. 1例原发性气管支气管肺淀粉样变性继发咯血患者的中西医结合护理病例报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202606020003.
XIANG Tingting, CHEN Liping, FAN Maorong, et al. A Case Report of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Primary Tracheobronchopulmonary Amyloidosis Complicated by Hemoptysis[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606020003.
本文总结1例原发性气管支气管肺淀粉样变性继发咯血患者的中西医结合护理经验。患者中医诊断为肺痈(痰热壅肺证),在西医常规治疗护理基础上,联合千金苇茎汤加减内服、耳穴压丸、穴位按摩、八段锦呼吸康复训练及中医情志调理等干预措施。干预14 d后,患者咯血停止,痰液性状、活动能力及焦虑状态均得到明显改善,病情稳定出院。本案例表明,中西医结合护理模式对此类复杂罕见呼吸系统疾病的管理具有显著优势。
This article summarizes the nursing experience of integrated Traditional Chinese and Western medicine (TCM-WM) in the management of a patient with primary tracheobronchopulmonary amyloidosis complicated by secondary hemoptysis. The patient was diagnosed in TCM as Fei Yong (lung abscess) with the syndrome pattern of phlegm-heat obstructing the lung. On the basis of conventional Western medical treatment and standardized nursing care, a series of TCM-based interventions were implemented, including oral administration of modified Qianjin Weijing Decoction, auricular acupressure, acupoint massage, Baduanjin (Eight-Section Brocade) respiratory rehabilitation training, and TCM emotional regulation. After 14 days of intervention, hemoptysis resolved completely, with marked improvements observed in sputum characteristics, physical activity capacity, and anxiety status. The patient was discharged with a stable condition. This case demonstrates that the integrated TCM-WM nursing model confers significant advantages in the management of such complex and rare respiratory disorders.
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