中醫藥改善肝腫瘤破裂合併白蛋白過低，造成加護病房嚴重腹瀉之中醫病例報告

Traditional Chinese Medicine improved Severe Diarrhea due to Hypoalbuminemia in Intensive Care Unit after Liver Tumor Rupture—A case report

本病例報告一位78歲女性因肝腫瘤破裂引起之低血容性休克，進行動脈血管栓塞治療及洗腎後，出現嚴重腹瀉合併腹脹及水腫情形，懷疑為白蛋白過低所引起之腹瀉，使用相關西藥治療效果有限，中醫藥於加護病房期間介入，以溫陽祛寒、健脾益氣為主，後隨患者中醫證型變化隨證加減治療，中西醫結合成功出院的案例。過去並無中醫藥介入白蛋白過低引起腹瀉之治療相關研究，藉此個案分享加護病房中醫藥介入對於相關症狀之療效參考。

"A 78-year-old woman experienced hypovolemic shock due to a ruptured liver tumor. After receiving transcatheter arterial embolism(TAE) and continuous renal replacement therapy(CCRT), she started to have server diarrhea and edema. In response, she initially received western medicine treatment under the impression of hypoalbuminemia though without any immediate signs of improvement. Subsequently, traditional Chinese medicine(TCM) treatment of warming yang for dispelling cold and invigorating spleen and replenishing qi was prescribed during her stay in intensive unit; continual adjustments were made depending on observed responses to treatment. Afterwards, most of her symptoms subsided and she was discharged after integrated Chinese and western medicine treatment. There wasn’t any research in the past about treating diarrhea due to hypoalbuminemia with traditional Chinese medicine therapy. This case report aims to document the efficacy of the aforementioned methods of treating related symptoms in the intensive care unit."