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篇名
中西醫結合治療幼兒顱腦損傷病例報告
並列篇名
Integrated Chinese and Modern Medical Treatment for Traumatic Brain Injury in an Infant: A Case Report
中文摘要
創傷性腦損傷是嬰幼兒最常見的死亡及重度殘疾之肇因,每年全球發生數百萬例,其中以跌倒、車禍、墜落等最為常見。由於嬰幼兒腦部處於快速發育階段,神經結構與機能相對脆弱,腦傷可能對其長期發育、發展造成不良影響,包含:情感、認知、行為等方面。本案為一名1歲女嬰,在遭受車禍的高能量撞擊後,出現顱骨骨折、意識不清、無法活動等症狀,診斷為左側顳骨骨折、後大腦鐮及右側小腦幕旁急性硬腦膜下血腫、雙側大腦腦溝/腦裂處可見外傷性蜘蛛膜下腔出血。急診後住進兒科加護病房照護。經醫師雷射針灸治療及內服科學中藥粉後,整體意識狀態改善、四肢張力及活動度改善,後轉普通病房持續追蹤,續配合吞嚥訓練及肢體復健。本案展現中醫對於幼兒腦傷後的辨證診斷及系統性治療,作為中醫小兒急症共同照護之參考,以期能幫助到更多患兒預後發展。
英文摘要
Traumatic brain injury is one of the leading causes of death and severe disability in infants and young children, with millions of cases occurring globally each year. The most frequent causes include falls, traffic accidents, and drops. Due to the rapid developmental stage of the infant brain, the neural structures and functions are relatively fragile, and brain injury can have long-term adverse effects on emotional, cognitive, and behavioral development. This case involves a 1-year-old female infant who suffered a high-impact traffic accident, resulting in symptoms such as skull fracture, loss of consciousness, and immobility. Brain computed tomography showed fracture of Left temporal bone, acute Subdural Hemorrhage along posterior falx and Right tentorium and traumatic Subarachnoid Hemorrhage at bilateral cerebral sulci/fissures. After emergency treatment, she was admitted to the Pediatric Intensive Care Unit (PICU) for further management.
Following one month of integrated treatment, the patient's level of consciousness, muscle tone, and motor activity gradually improved. She was subsequently transferred to a general ward for continued monitoring and was currently undergoing rehabilitation, including swallowing training and physical therapy. This case illustrates the role of Traditional Chinese Medicine pattern diagnosis and systematic treatment in the care of an infant with traumatic brain injury. It may serve as a reference for integrated Chinese medicine care in pediatric emergency settings and may help improve developmental outcomes in affected children.
起訖頁 39-56
關鍵詞 創傷性腦損傷中醫兒科雷射針灸兒科加護病房中西醫共同照護traumatic brain injuryChinese medical pediatricslaser acupuncturePICUintegration of Chinese and modern medicine
刊名 中醫藥雜誌  
期數 202606 (37:1期)
出版單位 衛生福利部國家中醫藥研究所(原:國立中國醫藥研究所)
該期刊-上一篇 中醫治療對高齡多關節骨關節炎急性醫療事件之保護效果:一項真實世界證據研究
該期刊-下一篇 針藥並用治療橈骨骨折術後關節僵硬與肢體腫脹之個案報告
 

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