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(一)效果 栓塞一症,常为心脏疾病的并发症,尤以风心病房颤较为多见。但一个病例同时合并脑、股动脉、肺部多处栓塞临床并不多见。本病例在抢救过程中,单纯使用西药19天,神志不清未恢复,经中西医结合抢救5天后,神清、思维正常;26天后失语恢复,53天后肢休功能初步恢复。尤其途中出现肺栓塞,中药以“益气健脾,活血散结”重用蛤粉,配合西药抗凝及抗炎,而未发生意外。 (二)补虚与活血在抢救过程中 中医辨证认为:本病例属中风证范踌,而发屉到“中脏腑”之危重阶段。临床以心乱神昏不识人为主症,综观脉症:烦躁不安、咳嗽黄厌、大便干结(实证表
(A) the effect of embolism, often complications of heart disease, especially rheumatic atrial fibrillation more common. However, a case of simultaneous brain, femoral artery, pulmonary embolism is not common in many clinics. This case in the rescue process, the simple use of Western medicine for 19 days, unconscious did not recover, after five days of Chinese and Western medicine rescue, God clear, normal thinking; aphasia 26 days after recovery, 53 days after the initial resumption of limb function. In particular, there on the way to pulmonary embolism, traditional Chinese medicine to “Yiqi Jianpi, Huoxue Sanjie” reusable clam powder, with Western anticoagulation and anti-inflammatory, without accidents. (B) tonic and blood circulation in the rescue process of TCM syndrome differentiation that: This case is a stroke certificate Fan hesitate, and drawer to the “critical organs” in critical stages. Clinical heart faint unconscious person-based disease, syndrome overview veins: irritability, cough, yellow tired, stool dry (empirical table