文献类型：期刊文献

中文题名：咳嗽性昏厥1例临床诊疗体会

英文题名：Clinical experience of treating 1 case of tussive syncope

作者：刘敏[1];李红[2]

第一作者：刘敏

机构：[1]甘肃中医药大学;[2]甘肃中医药大学附属医院

第一机构：甘肃中医药大学

年份：2016

卷号：8

期号：30

起止页码：10

中文期刊名：中医临床研究

外文期刊名：Clinical Journal of Chinese Medicine

语种：中文

中文关键词：晕厥;咳嗽;病例报道

外文关键词：Syncope; Cough; Case report

摘要：目的:探讨咳嗽性昏厥的中西医病因病机,总结其诊治要点及防护措施。方法:对甘肃中医药大学附属医院老年病科收治的1例咳嗽性昏厥患者的临床资料进行回顾性分析。结果:患者因剧烈咳嗽时晕厥多次入院,发作前均有剧烈咳嗽,遂即摔倒。经24 h动态心电图、头颅磁共振血管成像(MRA)、心脏超声、颈部血管超声、胸部CT、动脉血气分析、NT-pro BNP、甲状腺功能全项等检查,排除心、脑、肺部等脏器的病变。中医诊断:厥证,气厥;痰热郁肺。西医诊断:慢性支气管炎并肺气肿、咳嗽性晕厥综合征、低氧血症。予以中西医结合治疗,西医予抗感染、镇咳化痰联合中医益气养阴、润肺止咳,后未再发生昏厥,随访2个月未再复发。结论:咳嗽性晕厥为一种良性综合征,诊断需排除诱发晕厥的各种器质性病变,治疗基础病,缓解咳嗽症状是关键,中西医结合系统治疗效果良好。
Objective： To explore the etiology and pathogenesis of Chinese and western medicine of tussive syncope and to summarize the main points of diagnosis and treatment and preventive measures. Method： The clinical data of 1 case of tussive syncope in the department of geriatrics in Affiliated Hospital to Gansu College of traditional Chinese medicine were retrospectively analyzed. Result： The patient was admitted to hospital due to severe cough, he had a violent cough before the attack, and fell. After the examinations of 24 hours of dynamic ECG, cranial magnetic resonance angiography （MRA）, cardiac ultrasound, cervical vascular ultrasound, chest CT, arterial blood gas analysis, NT-proBNP, and thyroid function examination, the diseases of the heart, brain, lungs and other organs were excluded. Traditional Chinese medicine diagnosis： syncope syndrome and phlegm heat obstructing the lung. Western medicine diagnosis： Chronic bronchitis and emphysema, cough syncope, syndrome hyoxemia. Combination of traditional Chinese and Western medicine treatment was given： Western medicine was used for anti infection, relieving cough and resolving phlegm combined with Chinese medicine of tonifying qi and yin and moistening lung to arrest cough. Syncope didn＇t occur, no recurrence was followed up for 2 months. Conclusion： Tussive syncope was a benign syndrome, the diagnosis it should exclude various organic lesions, relieving cough symptoms was the key in the treatment of this foundation disease, combination of traditional Chinese and Western medicine treatment had a good effect.