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COVID-19 康复治疗联合早期清醒体外膜肺氧合支持:病例报告。

Rehabilitation for COVID-19 in conjunction with early awake extracorporeal membrane oxygenation support: a case report.

机构信息

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Ewha Womans University.

Department of Medicine, Division of Infectious Diseases, College of Medicine, Ewha Womans University.

出版信息

Int J Rehabil Res. 2022 Sep 1;45(3):287-290. doi: 10.1097/MRR.0000000000000533. Epub 2022 Jun 22.

DOI:10.1097/MRR.0000000000000533
PMID:35730065
Abstract

The coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 can lead to acute respiratory distress syndrome. Awake venovenous extracorporeal membrane oxygenation is known to be effective in patients with critical COVID-19 and respiratory failure. This report describes the rehabilitation course and functional progress of a 63-year-old man who contracted severe COVID-19 and underwent awake venovenous extracorporeal membrane oxygenation. He started rehabilitation from the time of isolation while receiving venovenous extracorporeal membrane oxygenation and underwent a 30-day course of inpatient comprehensive rehabilitation. He regained functional independence and cognitive abilities and was able to walk without assistance at hospital discharge without any complications. This study demonstrates the feasibility of starting rehabilitation for COVID-19 early while the patient is on awake venovenous extracorporeal membrane oxygenation and eventually achieving a favorable outcome.

摘要

新型冠状病毒病 2019(COVID-19)由严重急性呼吸综合征冠状病毒 2 引起,可导致急性呼吸窘迫综合征。体外膜肺氧合(ECMO)在治疗危重症 COVID-19 和呼吸衰竭患者方面被证实是有效的。本报告描述了一位 63 岁男性感染严重 COVID-19 并接受体外膜肺氧合治疗期间的康复过程和功能进展。该患者从接受体外膜肺氧合治疗开始隔离时就开始康复,接受了 30 天的住院综合康复治疗。他恢复了功能独立性和认知能力,在出院时无需任何辅助即可行走,没有任何并发症。本研究表明,对于 COVID-19 患者,在进行体外膜肺氧合的同时尽早开始康复治疗是可行的,最终可以取得良好的结果。

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