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在大流行环境下为一名冠状动脉搭桥术后COVID-19患者提供急性康复治疗

Delivery of Acute Rehabilitation to a Postcoronary Artery Bypass Graft COVID-19 Patient in a Pandemic Environment.

作者信息

Surendran Praveen Jayaprabha, Jacob Prasobh, Carr Cornelia Sonia, Omar Amr Salah, Sudarsanan Suraj, Shiju Shiny, Albadwan Yazan Hasan Othman, Matharsa Syed Abdul Ansari, Mathew Gigi, Selvamani Dinesh Kumar

机构信息

Department of Cardiac Rehabilitation, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

Department of Cardiac Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

出版信息

Heart Views. 2022 Apr-Jun;23(2):118-122. doi: 10.4103/heartviews.heartviews_101_21. Epub 2022 Jul 23.

Abstract

During the first wave of the coronavirus disease (COVID-19) pandemic, a 57-year-old COVID-19 male patient was diagnosed with non-ST-elevation myocardial infarction and required urgent coronary artery bypass graft. In-patient cardiac rehabilitation following cardiac surgery was inevitable to limit or prevent various postoperative complications. A routine rehabilitation program was not feasible because of the strict COVID-19 isolation procedures, the high risk of cross infections, and the lack of various resources. Moreover, the detrimental effects of COVID-19 infection on multiple body systems reduced his exercise tolerance, limiting his engagement in physical activity. This case report highlights the various challenges encountered during the rehabilitation of these patients and strategies adopted to overcome them, illustrating the feasibility of a modified rehabilitation program to ensure early functional recovery.

摘要

在冠状病毒病(COVID-19)大流行的第一波期间,一名57岁的男性COVID-19患者被诊断为非ST段抬高型心肌梗死,需要紧急冠状动脉旁路移植术。心脏手术后进行住院心脏康复对于限制或预防各种术后并发症是必不可少的。由于严格的COVID-19隔离程序、交叉感染的高风险以及各种资源的缺乏,常规康复计划并不可行。此外,COVID-19感染对多个身体系统的有害影响降低了他的运动耐量,限制了他参与体育活动。本病例报告强调了这些患者康复过程中遇到的各种挑战以及为克服这些挑战所采取的策略,说明了改良康复计划以确保早期功能恢复的可行性。

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