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題 名 | 頸椎損傷導致呼吸衰竭患者的呼吸氣脫離經驗=The Mechanical Ventilator Weaning Experience of a Patient with Cervical Spinal Cord Injury |
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作 者 | 杜沅諰; 莊淇源; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 13:2 2014.07[民103.07] |
頁 次 | 頁35-47 |
分類號 | 415.415 |
關鍵詞 | 脊椎損傷; 呼吸衰竭; 呼吸器脫離; Spinal cord injury; Respiratory failure; Weaning mechanical ventilator; |
語 文 | 中文(Chinese) |
中文摘要 | 在臺灣,車禍為創傷性脊椎損傷常見原因,並好發於年輕男性,部位以頸椎為最常見,其次為低胸椎及腰椎交界處,除了造成病人生理上肢體癱瘓、感覺消失及大小便失禁,心理也承受失能的極大壓力,且隨著損傷部位上升,影響的層面也越廣,尤為頸椎損傷造成呼吸肌及輔助肌功能障礙,往往需要呼吸器支持,並因肺擴張程度不足及無效的痰液清除,增加罹患肺炎及肺擴張不全的機率,適當的呼吸器支持及呼吸治療介入,有助於降低肺部合併症的發生並改善其預後。本個案為21歲男性,因車禍導致頸椎損傷,期間因呼吸衰竭使用呼吸器治療,而後因困難脫離轉入某區域醫院呼吸照護病房治療,給予積極訓練及嘗試脫離呼吸器,但於訓練期間發生肺擴張不全致使訓練中斷,最後在修正訓練計劃後成功脫離呼吸器,在檢討此類病人進行呼吸器脫離時,應適時評估其肺部擴張程度及協助有效的痰液清除,本文就分析脊椎損傷對於呼吸系統的影響及呼吸治療介入的方式,供呼吸治療師往後臨床照護參考。 |
英文摘要 | In Taiwan, the most common cause of traumatic spinal cord injury resulting from traffic accidents occurs in the young aged men. The cervical spines are the most common sites, following by the joint of thoracic and lumbar spine. The physical damage such as extremely psychological stress bother patients very much. The spinal cord injury patients need ventilator support, especially injury at upper cervical-spines injury, and damage of accessory muscles being damaged. Possible pneumonia and atelectasis are due to insufficient lung expansion and ineffective sputum clearance. Therefore, patients need proper treatments by the mechanical ventilators to lessen complications and to improve the prognosis. This 21 years old young man, suffering from traumatic spinal cord injury due to the traffic accident was treated and cared by mechanical ventilator and transferred to respiratory care ward in our hospital because of difficult weaning. During this period we gave active training program and weaning tried ventilator from the patient. However, the training program was interrupted due to atelectasis. Eventually we successes to wean ventilator from the patient after correcting our training plan. Therefore, when discussing with weaning mechanical ventilator, lung expansion and effective sputum clearance should be evaluated properly. The effect of spinal cord injury to respiratory system and how to assess the weaning programs are the topics that we should learn. This article can be applied to colleagues of respiratory wards for clinical references. |
本系統中英文摘要資訊取自各篇刊載內容。