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http://140.112.114.62/handle/246246/171240
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| Title: | Physical Therapy after Lung Transplantation in a Patient with Pneumoconiosis
塵肺症接受肺臟移植後患者之物理治療介入－病例報告 |
| Authors: | 蕭淑芳;吳英黛;李元麒;陸希平;張逸良
HSIAO, SHU-FANG;WU, YING-TAI;LEE, YUNG-CHIE;LUH, SHI-PING;CHANG, YIH-LEONG |
| Contributors: | 復健部 |
| Date: | 1997 |
| Issue Date: | 2009-10-21T07:24:58Z
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| Abstract: | Pneumoconiosis is an irreversible lung disease. After conservative treatment was all failed, patients usually died from infection and respiratory failure. Lung transplantation is the only hope for these terminal-stage patients. This 60-years-old male patient has suffered from pneumoconiosis for more than 10 years. Pre-operative examination revealed right lung destruction and fibrosis, chest wall muscle atrophy, low activity level, and poor fitness. Moderate restrictive ventilatory defect, severe obstructive ventilatory defect, and moderate impairment of diffusing capacity were demonstrated by his pulmonary function test. He received right single lung transplantation on Oct. 19, 1996. Five days later, physical therapist was consulted for chest care and reconditioning. In intensive care unit, physical therapy programs were emphasized on improving lung hygiene, mobilizing the patient, and preventing complications. After the patient was transferred to general ward, programs continued and focused on intensive cardiopulmonary function training. In general, this patient got much improvement both in lung function and daily activities after lung transplantation. Physical therapy program in post- lung transplantation care was similar with other thoracic surgery but much longer to reach the treatment goal. Therapists have to understand the course and the related conditions, such as the compliance of the chest wall, the physiological difference of the transplanted lung , side effects of medications, and signs or symptoms of rejection and infection. Treating the patient as a whole man , monitoring patient's major systems and modifying treatment program accordingly are the most important guidelines for such patients. |
| Relation: | 中華民國物理治療學會雜誌 v.22 n.4 pp.299-308 |
| Appears in Collections: | [附設醫院復健部] 期刊論文
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