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フルテキストURLA020046000108.pdf ( 1.5MB ) 公開日 2010-04-19
タイトルBreathing Exercise in High Cervical Cord Injury : Report of two Cases
作成者Takahashi, Seiichiro
Hamada, Tetsuro
Harada, Noriaki
作成者ヨミタカハシ, セイイチロウ
ハマダ, テツオ
ハラダ, ノリアキ
作成者所属山口大学医学部
内容記述(抄録等)Spinal cord injury patients, particularly high cervical cord injury patients, have breathing disturbance due to diaphragm paresis. They are maintained on a ventilator, which has a tremandous restriction on the activities of daily living (ADL). We used breathing care to wean two patients from the ventilator. They were both males, one aged 26 years and the other 17. Both patients had complete quadriplegic paralysis and diaphragm paresis due to C3 dislocation. The breathing care consisted of exercises for phlegm drainage, muscle strengthening, and prevention of muscle shortening and joint stiffness. In one patient, weaning from artificial ventilation was successful, spontaneous breathing was achieved, and it was possible to remove the tracheal canula by Day 492. The other patient improved to take off the ventilator for 5 hours at atime except during meal and sleep by Day 99. For both patients there were significant effects not only on the ADL and mentality, but also on nursing care given to them.
本文言語eng
著者キーワードHigh cervical cord injury
Breathing disturbance
Breathing exercise
Weaning
Physical therapy
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
46
1-2
開始ページ49
終了ページ52
発行日1999-06
著者版/出版社版出版社版
リポジトリIDA020046000108
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020046000108