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Angongniuhuang one case of senile pulmonary encephalopathy


Ranging from no time noise of the valve auscultation area. Lower extremity edema. Dark red tongue, dry yellow coating. Veins knot. Jicha blood: pH7.178,[link widoczny dla zalogowanych], carbon dioxide partial pressure (PCO2) 116mmHg,[link widoczny dla zalogowanych], partial pressure of oxygen (PO2) 72. OmmHg, oxygen saturation (O2Sat) 89.6%, base excess (BE) 9.6mmol / L,[link widoczny dla zalogowanych], standard base excess (BEecf) 15mmol / L,[link widoczny dla zalogowanych], buffer base (BB) 57.6mmol / L, bicarbonate ( HCO;) 43mmol / L,[link widoczny dla zalogowanych], total carbon dioxide (TCO) 47mmol / L. Biochemical (a), troponin (TnI) <0.16, after consultation by the respiratory recommended for treatment of ventilator after endotracheal intubation, family steadfastly refused to require drug treatment. 0.9% sodium chloride solution immediately 100ml + can be excited Lamine 1125rag intravenous respiratory center. 20% mannitol 125ml, intravenous infusion of l & / 12h dehydration. I temporary suction 1. And give Ambroxol 15mg, given breath O. 25 into the pot, dexamethasone 5mg Author: 100053jE Beijing city, Guang An Men Hospital, China Academy of Traditional Chinese Medicine (Feng Ling); Baoding, Hebei Province People's Hospital (Song Yuming) * IJ disease a bad hand into the pot of phlegm and asthma Burgundy Report . 8:4 O were less clear sense of deep, still sleepy-like, Jicha blood: pH7.198, PCO2106.4mmHg, PO268.1mmHg, O2Sat88.7%, BE8.5mmol / L, BEecf13.4mmol / L, BB56.5mmol / L, HCO; 41.5mmol / L, TCO244.7mmol / L. Blood gas analysis showed: Ⅱ respiratory failure, respiratory acidosis and metabolic alkalosis. Asked history, the patient fails to solve the stool 3d, 6h unresolved urine, coma, sputum Ming, red, yellow fur was so hot phase, expansion of the sputum of lung differentiation is awakened by God permits, true card, then will urge their self-service security bezoar pill a house to heat resuscitation, 15:0 O occasionally conscious patients, review of blood gas: pH7.241, PCO297mmHg, PO264.2mmHg, O2Sat88.5%, BE9.7mmol / L, BEecf14.3mmol / L, BB57.7mmol / L, HCO; 41.7mmol / L, TCO244.6mmol / L. Blood pressure 150/90mrahg, heart rate 80-90; P. _ / Min. Consider taking Angongniuhuang effective, Nursing and then 1 tablet, 18: o0 turned clear awareness of patients, more sweat, urine volume 600ml. Given 0.9% NaCl lOOml + Health Injection 60ml nourishing, solid antiperspirant off. Morning of June 25 were entirely clear consciousness, 1 bowel movements, review blood gas: pH7.345, PCO281.3mmHg, PO2136.0mmHg, O2Sat99.05, BE14.2mmol / L, BEecf18.7mmol / L, BB62.2mmol / L, HC0; 44.4mmol / L, TCO246.9mmol / L. Continue to impose anti-infection, improve ventilation and help expectoration, defecation and other measures, awareness has been clear for patients, not then Angongniuhuang, to June 29 return of blood gradually decreased PCO2 57mmHg, after consciousness has been clearly not be repeated, July 6 Syndromes improved and discharged. 2 Angongniuhuang discussed by the pearl, turmeric, musk, rhinoceros horn, bezoar Chinese herbal medicines and other valuable components, with heat, refresh, fails to grasp the effectiveness of traditional medicines in China's most prestigious acute medication, which originated in the Qing Dynasty Blast scientists Wu Ju Tong's Clinically used for blast high fever, coma, stroke, Kouyanwaixie, tendons and traction, such as phlegm dampness epilepsy. The consciousness is impaired pulmonary encephalopathy mostly chronic illness and asthma, lung phlegm, deter Qing Yang, fool heart and brain and hair. If true certificate, application security officials heat syndrome were also bezoar pill can be effective for each. Pharmacological studies have shown that Angongniuhuang can reduce brain edema in rabbits brain water content, and the bezoar, musk excitatory respiratory center, enhanced central hypoxia tolerance. Prompted the drug's protective effect on brain tissue may be the refreshing effect of the principle of Angongniuhuang of resuscitation. The patient age, disease complex, the potential disease risks of the rescue process, in addition to resuscitation with the use of Angongniuhuang heat refreshing, but also pay attention to airway, pass stool, Lee urine, Qi Yin and other methods to make some out of evil, lung was complex, the patient turned the corner. Learning from them.