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Early intervention combining Chinese and Western medicine in traumatic brain injury with diffuse axonal injury: A report of three cases

机译:早期干预中西医结合中西医结合弥漫性轴突损伤的创伤性脑损伤:三种情况的报告

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BackgroundTraumatic brain injury (TBI) is characterized by high prevalence, morbidity, and mortality. Diffuse axonal injury (DAI) is a specific type of TBI leading to prolonged consciousness impairment and disability. There is still no standard treatment for DAI, so we introduced traditional Chinese medicine into the treatment of these patients.Case summariesThree patients had TBI after traffic accidents. Their Glasgow Coma Scale (GCS) scores in the intensive care unit (ICU) were E1VEM2-3, E1VEM2-3, and E1VEM2respectively. All of them were diagnosed with DAI based on magnetic resonance imaging (MRI). Because of continuing consciousness disturbances, their families agreed to combine traditional Chinese medicine and modern medicine treatments through inpatient consultation in Taoyuan General hospital. Two patients took Buyang Huanwu Decoction, and one Tianma Gouteng Decoction twice a day. All of them received 20?min of acupuncture treatments 5 times per week. Acupuncture points included Baihui (GV20), Sishencong (EX-HN1), Shuigou (GV26), Hegu (LI4), and Taichong (LR3). All of them started Traditional Chinese medicine treatment within 2 weeks after TBI. The GCS of all three patients recovered to E4M5V6.ConclusionsThe early addition of traditional Chinese medicine treatments to Western medical care can improve the prognosis of patients with diffuse axonal injury.
机译:BackgroundTraumatic脑损伤(TBI)的特征是患病率高,发病率和死亡率。弥漫性轴突损伤(DAI)是一种特定类型的TBI,导致长期意识损害和残疾。傣族仍然没有标准治疗,因此我们将中药引入了这些患者的治疗方法。Case概述患者在交通事故后患有TBI。它们的Glasgow Coma Scale(GCS)分数在重症监护室(ICU)中是E1VEM2-3,E1VEM2-3和E1VEM2。所有这些都被诊断为基于磁共振成像(MRI)的DAI。由于持续的意识干扰,他们的家庭同意通过桃园综合医院的住院咨询将中药和现代医学治疗结合在一起。两名患者服用Budgang Huanwu汤剂,一天两次天马Gouteng汤。所有这些都收到了每周5次针灸治疗的20分钟。针灸点包括白辉(GV20),Sishencong(前HN1),Shuigou(GV26),Hegu(Li4)和Taihong(LR3)。所有这些都在TBI后2周内开始中药治疗。所有三名患者的GCS恢复到E4M5V6。结论早期添加中药治疗的西方医疗治疗可以改善弥漫性轴突损伤患者的预后。

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