中药茶饮汽化治疗肺性脑病躁动的研究

Jianbo Hong, M. Zhou, Weisheng He, Yue Chen
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摘要

对于AECOPD导致的晚期高碳酸血症脑病患者,除了增加镇静剂治疗躁动外,您还会选择什么方法?这是一位94岁的女性,患有慢性阻塞性肺病30多年,咳嗽加速发作,痰多,由于天气寒冷,佐藤2的浓度下降到86%。根据患者出现的躁动和谵妄,诊断为肺性脑病(PE),分别给予喹硫平、氟哌啶醇等镇静剂治疗精神兴奋,但患者仍自行拔出留置针,拒绝输液治疗。作为替代方案,必须采用与饮茶相结合的汽化疗法来缓解她的焦虑,设计为通过高流量氧合装置(HFOD)雾化吸入氧合,在吸入器中混合安瓿氨溴索,同时饮用中药减痰,有助于溶解感染时末细支气管内的粘液栓。我们认为,如果通过汽化治疗对小气道进行良好的通气,对AECOPD所致高碳酸血症脑病的疗效会更好。
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An Introduction of the Vaporized Therapy with Tea Herb Drink for Relieving Agitation due to Pulmonary Encephalopathy
What methods would you choose apart from increasing sedatives foragitation in an advanced patient with hypercapnic encephalopathy dueto AECOPD? This is a 94-year-old female who suffered from COPD forover 30 years, occurred with an accelerated episode of cough, productivesputum and a dropping down to 86% in SatO₂ due to a cold weather. Adiagnosis of pulmonary encephalopathy (PE) was made on the basis of thesubsequent agitation and delirium, and the sedatives, such as quatiepineand haloperidol, had to be given for her mental excitation respectively, butshe still pulled out indwelling needle herself and refused to any infusiontherapy. As an alternative, a vaporized therapy integrated with tea herbdrinking had to be applied to relieving her agitation, being designedas the vaporization of the inhaled oxygenation by means of high-flowoxygenation device (HFOD), with an ampoule of ambroxol mixed into theinhaler and simultaneous drinking of TCM tea herb for reducing sputum,helping dissolve the mucoid bolts inside her terminal bronchioles whenbeing infected. We thought that a better efficacy would be achieved forhypercapnic encephalopathy due to AECOPD if we concentrate on a goodventilation of small airway through the vaporized therapy.
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