天津中医药2026，Vol.43Issue(1)：1-4,4.DOI:10.11656/j.issn.1672-1519.2026.01.01
张伯礼教授中西医结合救治高龄急性脑卒中伴心源性休克经验
Professor ZHANG Boli's experience in the integrated Western and traditional Chinese medicine for the treatment of an elderly patient with acute stroke complicated by cardiogenic shock
SHI Jiangwei 1XIAO Nuan 2ZANG Shasha 2SHI Huiyan1
作者信息
- 1. Department of Acupuncture and Moxibustion,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China||National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China
- 2. Department of Geriatrics/Special Needs Ward,Affiliated Hospital of Hebei University,Baoding 071000,China
- 折叠
摘要
Abstract
Stroke-heart syndrome(SHS)refers to new-onset cardiac injury or dysfunction,or the worsening of pre-existing cardiac conditions,occurring early after acute ischemic stroke.Its clinical manifestations primarily include acute myocardial injury,heart failure,and arrhythmias,with cardiac damage often peaking within 72 hours of onset.This article reports the case of an elderly patient who developed acute heart failure within 24 hours after an acute stroke.The clinical challenge lay in balancing the need to"preserve cerebral perfusion"while"reducing cardiac load."Although the patient's condition stabilized after conventional symptomatic Western medical treatment,the dilemma of unable to withdraw vasopressors persisted.Based on traditional Chinese medicine heart-brain interconnection and the pathogenesis characteristics of"heart deficiency and marrow depletion"in elderly patients,Professor ZHANG Boli guided the combined application of intravenous Yiqi Fumai Injection and oral Fuzheng Mixture was administered.This approach successfully facilitated the reduction and withdrawal of vasoactive agents,offering an effective combined therapeutic strategy for managing critically ill elderly patients under the"heart-brain simultaneous treatment"principle.关键词
卒中-心脏综合征/心脑同治/心虚髓亏/益气复脉注射液/扶正合剂Key words
stroke-heart syndrome/simultaneous treatment of heart and brain/heart deficiency and marrow depletion/Yiqi Fumai Injection/Fuzheng Mixture分类
医药卫生引用本文复制引用
SHI Jiangwei,XIAO Nuan,ZANG Shasha,SHI Huiyan..张伯礼教授中西医结合救治高龄急性脑卒中伴心源性休克经验[J].天津中医药,2026,43(1):1-4,4.
