中国中西医结合急救杂志2025，Vol.32Issue(5)：517-525,9.DOI:10.3969/j.issn.1008-9691.2025.05.002
重症肺炎中西医结合诊疗临床路径
Clinical pathway for integrated traditional Chinese and Western medicine diagnosis and treatment of severe pneumonia
摘要
Abstract
Severe pneumonia is characterized by a pulmonary infection that results in significant physiological impairment,leading to life-threatening complications or multiple organ dysfunction in affected individuals,necessitating intensive care and advanced life-support.Its core features include respiratory failure,sepsis,multiple organ failure,etc.,and it typically progresses rapidly and carries high mortality.Currently,conventional treatments include various methods.Traditional Chinese medicine has unique advantages in improving related symptoms,and the integration of traditional Chinese and Western medicine is becoming increasingly dopted as a potentially evidence-based adjunct.To promote the standardization and homogenization of integrated traditional Chinese and Western medicine diagnosis and treatment for severe pneumonia,a clinical pathway for integrated traditional Chinese and Western medicine diagnosis and treatment of severe pneumonia has been specially formulated.This pathway has defined the applicable subjects(diagnosed as wind-heat lung disease in traditional Chinese medicine and severe pneumonia in Western medicine)and inclusion criteria.The diagnostic basis involves both traditional Chinese and Western medical standards,as well as disease staging,grading,and syndrome diagnosis.The treatment adopts an integrated traditional Chinese and Western medicine approach,with Western medicine including basic supportive treatment,infection control,nutritional support,and complication management;traditional Chinese medicine includes syndrome differentiation and treatment,as well as characteristic therapies such as acupuncture and enema.At the same time,the pathway also includes prevention,adjustment and follow-up,efficacy evaluation criteria,hospital stay,admission examination items,discharge criteria,and reasons for variation and exit from the pathway,aiming to provide clinical reference for the integrated traditional Chinese and Western medicine diagnosis and treatment of severe pneumonia.关键词
重症肺炎/中西医结合诊疗/临床路径Key words
Severe pneumonia/Integrated traditional Chinese and Western medicine diagnosis and treatment/Clinical pathway引用本文复制引用
张圆,江来,曲彦,张召才,范学朋,于代华,林乐清,刘君玲,李军,安伟伟,褚玉茹,孙同文,陈波,陈勇,余剑波,王昊,金胜威,尹海燕,李桂伟,高红梅,王东浩,王常松..重症肺炎中西医结合诊疗临床路径[J].中国中西医结合急救杂志,2025,32(5):517-525,9.基金项目
国家中西医协同"旗舰"科室(重症医学)建设项目(2024-07-11) （重症医学）
国家中医优势重点专科(重症医学)建设项目(2024-05-10) （重症医学）
天津市中医药重点领域科研项目(2023009) （2023009）
天津市自然科学基金重点项目(25JCLZJC00300) （25JCLZJC00300）
天津市医学重点学科建设资助(TJYXZDXK-3-013B) National Flagship Construction Project for Integrated Traditional Chinese and Western Medicine(Intensive Care Medicine)(2024-07-11) （TJYXZDXK-3-013B）
National Key Specialized Project of Traditional Chinese Medicine(Intensive Care Medicine)(2024-05-10) （Intensive Care Medicine）
Tianjin Science and Technology Program Key Projects of Traditional Chinese Medicine(2023009) （2023009）
Key Project of Tianjin Natural Science Foundation(25JCLZJC00300) （25JCLZJC00300）
Tianjin Key Medical Discipline Construction Project(TJYXZDXK-3-013B) （TJYXZDXK-3-013B）
