典型文献
Integrated therapeutic plasma exchange and traditional Chinese medicine treatment in a patient with severe COVID-19:A case report
文献摘要：
This report presents the case of a 59-year-old man with severe COVID-19 that gradually progressed to cytokine release syndrome and then acute respiratory distress syndrome;he was successfully treated via integration of therapeutic plasma exchange and traditional Chinese medicine.The patient initially presented with a sore throat,severe muscle aches,productive cough and fever.On the worsening of symptoms,remdesivir was administered.However,as the symptoms continued to worsen and a cytokine release syndrome was suspected,oxygen was provided through a high-flow nasal cannula(50 L/min)and therapeutic plasma exchange was performed to prevent worsening of the acute respiratory distress syn-drome.On the same day,a course of traditional Chinese medicine was introduced in consultation with the infectious house staff.The patient's symptoms gradually improved;the levels of C-reactive protein and D-dimers reduced,and the patient was weaned to a simple oxygen mask and eventually to room air.This is the first reported case of the integration of these treatments.Together,they prevented the patient from requiring intubation,played a role in cytokine management,and also improved the clinical symptoms,including productive purulent sputum,cough,frequent stool passage and intermittent fever,with no adverse effects.As a result,the patient was discharged within two weeks of the integration of these treatments.Therefore,the integration of therapeutic plasma exchange and traditional Chinese medicine is an effective therapy for patients with severe COVID-19.
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作者姓名：
Chia-Wei Lin;Wei-Chen Hsu;Chien-Lu Lu;Su-Hsing Cheng;Cheng-Pin Chen;Yu-Chang Hou
作者机构：
Department of Chinese Medicine,Taoyuan General Hospital,Taoyuan City 330,Taiwan,China;Department of Nephrology,Taoyuan General Hospital,Taoyuan City 330,Taiwan,China;Department of Infectious Disease,Taoyuan General Hospital,Taoyuan City 330,Taiwan,China;School of Public Health,Taipei Medical University,Taipei City 110,Taiwan.China;Department of Bioscience Technology,Chung Yuan Christian University,Taoyuan City 320,Taiwan,China;School of Chinese Medicine,College of Chinese Medicine,China Medical University,Taichung City 404,Taiwan,China;School of Traditional Chinese Medicine,College of Medicine,Chang Gung University,Taoyuan City 333,Taiwan,China
文献出处：
引用格式：
[1]Chia-Wei Lin;Wei-Chen Hsu;Chien-Lu Lu;Su-Hsing Cheng;Cheng-Pin Chen;Yu-Chang Hou-.Integrated therapeutic plasma exchange and traditional Chinese medicine treatment in a patient with severe COVID-19:A case report)[J].结合医学学报（英文版）,2022(06):575-580
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0.539723
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