Department of Physical Medicine and Rehabilitation, Seoul Medical Center, Jungnang-gu, Seoul, Republic of Korea.
Medicine (Baltimore). 2021 Nov 24;100(47):e27980. doi: 10.1097/MD.0000000000027980.
Pulmonary fibrosis is an infamous sequela of coronavirus disease 2019 (COVID-19) pneumonia leading to long-lasting respiratory problems and activity limitations. Pulmonary rehabilitation is beneficial to improve the symptoms of lung fibrosis. We experienced a post-COVID-19 pulmonary fibrosis patient who received a structured exercise-based pulmonary rehabilitation program.
This article presents a case of successful pulmonary rehabilitation of a patient with post-COVID-19 pulmonary fibrosis. The patient could not cut off the oxygen supplement even after a successful recovery from COVID-19.
Diagnosis of COVID-19 was based on the reverse transcription-polymerase chain reaction (RT-PCR). Pulmonary fibrosis was diagnosed by patient's complaint, clinical appearance, and computed tomography (CT) on chest.
The patient underwent ten sessions of exercise-based rehabilitation program according to Consensus Document on Pulmonary Rehabilitation in Korea, 2015.
On the 8th day, he could cut off the oxygen supplementation and complete the one-hour exercise without oxygen. He was discharged after completing the 10-session program without any activity limitations.
Exercise-based pulmonary rehabilitation will help the post-COVID-19 pulmonary fibrosis patients. This case suggested the importance of pulmonary rehabilitation program to the post-COVID-19 pulmonary fibrosis patient.
新型冠状病毒肺炎(COVID-19)后肺炎可导致肺纤维化,这是一种臭名昭著的后遗症,可导致长期的呼吸问题和活动受限。肺康复对改善肺纤维化症状有益。我们遇到了一位 COVID-19 后肺纤维化患者,他接受了基于结构化运动的肺康复计划。
本文介绍了一例 COVID-19 后肺纤维化患者成功接受肺康复治疗的病例。该患者即使在 COVID-19 成功康复后,仍无法停止吸氧。
COVID-19 的诊断基于逆转录-聚合酶链反应(RT-PCR)。肺纤维化通过患者的主诉、临床表现和胸部计算机断层扫描(CT)进行诊断。
患者按照 2015 年韩国肺康复共识文件接受了十次基于运动的康复计划。
第 8 天,他可以停止吸氧并完成一小时的运动而无需吸氧。在完成十次疗程后,他没有任何活动受限而出院。
基于运动的肺康复将有助于 COVID-19 后肺纤维化患者。该病例提示 COVID-19 后肺纤维化患者肺康复计划的重要性。