重症监护病房收治的烧伤患者的物理治疗

I. Patsaki, A. Kyriakopoulos, Martha Katartzi, V. Markaki, Emmanouel Papadopoulos
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引用次数: 3

摘要

背景:对危重病人进行物理治疗是其功能恢复的关键组成部分。烧伤患者会出现严重的并发症,导致功能下降。目的报告一例22岁男性患者,体表面积45%烧伤,住进重症监护室。方法早期物理治疗从急性疾病早期开始,包括呼吸和肌肉骨骼干预,以预防和解决长期固定和机械通气引起的并发症。结果患者在ICU住院期间临床表现明显改善。他成功地脱离了机械通气和气管造口管。从ICU出院到高依赖病房后,肌肉力量和功能能力得到改善。结论在目前的病例研究中,物理治疗是急性重症烧伤患者治疗计划中重要而有效的组成部分,上肢和下肢的定位对于减少和避免挛缩非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physiotherapy in a Burn Patient Admitted in Intensive Care Unit
BackgroundEarly physiotherapy in critical ill patients is a key component to their functional recovery. Burn patients are presented with severe complications that lead to reduced functional ability.ObjectiveThe aim of this paper is to present the case of a 22 year old male patient with a 45% burn of total body surface area, who was admitted in the Intensive Care Unit.MethodsEarly physiotherapy commenced from the early stages of acute illness and involved respiratory and musculoskeletal interventions in order to prevent and address complications from prolonged immobilization and mechanical ventilation. ResultsPatient through his stay in the ICU presented significant clinical improvements. He was successfully liberated from mechanical ventilation and decannulated from tracheostomy tube. Improvements in muscle strength and functional ability was noted once discharged from the ICU to a High Dependence Unit.ConclusionIn the current case study physiotherapy was a vital and effective component of the therapeutic plan of severe burn patient being admitted in a acute care facility and positioning of the upper and lower limbs is of huge importance, in order to minimize and avoid contractures.
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