25S.21 中西合併治療新冠肺炎後肌無力病例報告
TJ TCM.25(S) : 187-194, 2022
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中西合併治療新冠肺炎後肌無力病例報告
Integrated Chinese and Western Medicine
Treatment for Myalgia after COVID-19 Case Report
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高晧宇1 陳麗如2*
1 台灣基督長老教會馬偕紀念醫院中醫部，台北，台灣
1 台灣基督長老教會馬偕紀念醫院復健科，台北，台灣
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【摘要】
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新冠肺炎在2019 年爆發，約在2020 年三月在全球引發大流行，2021 年五月在台灣肆虐。目前尚未有許多文章來描述，因新冠肺炎造成之肌肉疼痛和肌肉無力。重症患者在罹病後在加護病房住院較長，因此較可能造成加護病房後的肌肉無力。本篇病例報告為一位35 歲女性，在加護病房有高燒因此持續使用抗生素。脈搏波形心輸出監測顯示低心臟舒張末期容積量和系統性的血管阻力曾使用升壓劑和輸液。曾因高血鉀而間歇性洗腎。住院81 日後，併發雙下肢無力與上肢無法前舉，經過中西醫合併治療，中醫選用足陽明胃經足三里，手陽明大腸經合谷、血海、梁丘等穴道，患者肌力逐漸恢復。
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【關鍵詞】重症後虛弱症（ICU-acquired weakness）、新冠病毒（SARS-CoV-2）、中醫
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Hao-Yu Kao1Li-Ru Chen2*
1Department of Chinese Medicine, MacKay Memorial Hospital, Taipei, Taiwan
2Department of Rehabilitation Medicine, MacKay Memorial Hospital, Taipei, Taiwan
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【Summary】
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The COVID-19 broke out since 2019, and spread around the world from March 2020, and raged in Taiwan in May 2021. There are just a few articles described myalgia and muscle weakness caused by the COVID-19. Critical illness patients need to be hospitalized in the Intensive care unit for a long time, as a result, it is more likely to develop muscle weakness. This is a 35-year-old woman who was hospitalized in the intensive care unit for 81 days. She received the antibiotic treatment for high fever, vasopressin and fluid supply was provided owing to the PICCO revealed low diastolic volume and increased systemic resistance. She received on and off hemodialysis for hyperkalemia.
After that, she suffered from weakness of both lower limbs and was not able to raise the upper limbs. However, after combining the Chinese and Western medicine, performing acupuncture at the ST-36 Zusanli, LI 4 Hegu,SP-10 Xuehai and ST 34 Liangqiu her muscle power gradually recovered.
【Keywords】Intensive care unit-acquired weakness (ICUAW); Chinese Medicine
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