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一名患有坏死性胰腺炎并双侧胸腔积液的年轻患者的综合物理治疗方法:病例报告

A Comprehensive Physiotherapeutic Approach in a Young Patient With Necrotizing Pancreatitis With Bilateral Pleural Effusion: A Case Report.

作者信息

Patil Anushri R, Lalwani Lajwanti

机构信息

Department of Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 20;16(2):e54524. doi: 10.7759/cureus.54524. eCollection 2024 Feb.

DOI:10.7759/cureus.54524
PMID:38516494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10955800/
Abstract

Necrotizing pancreatitis represents a severe variant of acute pancreatitis characterized by the death of pancreatic tissue (necrosis). This condition commonly stems from inflammation and damage to the pancreas, leading to the development of areas of dead tissue within the organ. Pleural effusion, on the other hand, involves the accumulation of fluid within the pleural cavity. Typically, these effusions are of mild to moderate severity and tend to occur on the left side. In the following case report, we present a 25-year-old male who was diagnosed with necrotizing pancreatitis and bilateral pleural effusion. It is important to emphasize that cardiopulmonary physiotherapy plays a crucial role in managing pleural effusion. Such interventions, which encompass breathing exercises and thoracic expansion exercises, are pivotal for optimizing lung ventilation, enhancing oxygen levels, and preventing complications such as atelectasis and pneumonia. By boosting oxygenation and improving lung compliance, physiotherapy helps reduce the risk of respiratory problems and expedites the recovery process. This approach enables young individuals to regain their lung function and overall quality of life. In this particular case, the patient received medical management and pulmonary rehabilitation, resulting in a decrease in the Modified Medical Research Council Scale score and an improvement in the six-minute walk test (6 MWT), which subsequently enhanced their quality of life.

摘要

坏死性胰腺炎是急性胰腺炎的一种严重变体,其特征是胰腺组织死亡(坏死)。这种情况通常源于胰腺的炎症和损伤,导致器官内出现坏死组织区域。另一方面,胸腔积液是指胸腔内液体的积聚。通常,这些积液的严重程度为轻度至中度,且往往发生在左侧。在以下病例报告中,我们介绍了一名25岁男性,他被诊断为坏死性胰腺炎和双侧胸腔积液。需要强调的是,心肺物理治疗在胸腔积液的管理中起着至关重要的作用。此类干预措施包括呼吸练习和胸廓扩张练习,对于优化肺通气、提高氧水平以及预防肺不张和肺炎等并发症至关重要。通过增强氧合作用和改善肺顺应性,物理治疗有助于降低呼吸问题的风险并加速康复过程。这种方法使年轻人能够恢复肺功能和整体生活质量。在这个特定病例中,患者接受了药物治疗和肺康复,导致改良医学研究委员会量表评分降低,六分钟步行试验(6MWT)得到改善,从而提高了他们的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/bf328a7cfa51/cureus-0016-00000054524-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/8dd7e037cff8/cureus-0016-00000054524-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/3c299f7b9b03/cureus-0016-00000054524-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/bf328a7cfa51/cureus-0016-00000054524-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/8dd7e037cff8/cureus-0016-00000054524-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/3c299f7b9b03/cureus-0016-00000054524-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ad/10955800/bf328a7cfa51/cureus-0016-00000054524-i03.jpg

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本文引用的文献

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A Combat Journey With Pulmonary Rehabilitation and Palliative Care in a Patient With Pleural Effusion, Secondary to Metaplastic Breast Carcinoma.一名继发于化生性乳腺癌并伴有胸腔积液患者的肺康复与姑息治疗抗争历程
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