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肺康复对一例急性呼吸窘迫综合征合并支气管肺炎患者的影响:病例报告

The Impact of Pulmonary Rehabilitation in a Case of Acute Respiratory Distress Syndrome With Bronchopneumonia: A Case Report.

作者信息

Nandanwar Roshni R, Singh Rajat, Karanjkar Samruddhi M, Bhagwani Ritika S

机构信息

Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, IND.

出版信息

Cureus. 2022 Dec 18;14(12):e32671. doi: 10.7759/cureus.32671. eCollection 2022 Dec.

Abstract

Inhaled bacteria and viruses could cause pneumonia (from the Greek word pneuma, which means "breath"), which is an infection and inflammation of the bronchioles and alveoli in the lower respiratory tract that can be fatal. The condition's typical symptoms include excruciating chest pain and a persistent cough that produces thick mucus. Of patients in emergency medicine units around the world, 10% have acute respiratory distress syndrome (ARDS). A 35-year-old male patient stated having a fever for 12 days, a cough with expectoration for two days, and trouble breathing at rest when he arrived at the medical emergency unit. Following the examination, blood investigation, urine examination, and X-ray were done suggestive of bronchopneumonia and acute respiratory distress syndrome. The patient was assessed using a range of outcome measures on the assessment day, and the same variables were again assessed on the discharge and follow-up days. These outcome measures showed significant reduction in the severity of the cough and dyspnea. Also, the patient had markedly improved cough intensity, dyspnea (Modified Medical Research Council {MMRC}, grade 2), lung capacity, weakness, and quality of life (QoL) because of our well-organized pulmonary rehabilitation. It is safe to assume that a thorough strategy like ours will lead to an improvement in the patient's respiratory health.

摘要

吸入细菌和病毒可能导致肺炎(源自希腊语单词pneuma,意为“呼吸”),肺炎是下呼吸道细支气管和肺泡的感染与炎症,可能致命。该病的典型症状包括剧痛的胸痛和咳出浓稠黏液的持续性咳嗽。在世界各地的急诊科患者中,10%患有急性呼吸窘迫综合征(ARDS)。一名35岁男性患者到达医疗急救单位时称已发烧12天,咳嗽咳痰2天,静息时呼吸困难。检查后,进行了血液检查、尿液检查和X光检查,结果提示支气管肺炎和急性呼吸窘迫综合征。在评估日使用一系列结局指标对患者进行评估,在出院日和随访日再次评估相同变量。这些结局指标显示咳嗽和呼吸困难的严重程度显著降低。此外,由于我们组织有序的肺部康复治疗,患者的咳嗽强度、呼吸困难(改良医学研究委员会{MMRC},2级)、肺容量、虚弱状况和生活质量(QoL)都有明显改善。可以肯定地说,像我们这样全面的策略将改善患者的呼吸健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d7f/9848687/f2fe96402c95/cureus-0014-00000032671-i01.jpg

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