脳動静脈奇形による四肢麻痺患者の開頭術前後の肺理学療法

概要

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This case was hypoxia caused by opisthotonic hypertonus and week respiration. In supine position, arterial blood gas pressure was very poor. But I found that breathing assist technique made the gas pressure improve from PaO_2 43.8 mmrlg, PaCO_2 45.4mmHg to PaO_2 83.9 mmHg, PaCO_2 39.5 mmHg. The therapy was given to this case in relaxed sitting position. This pre-operative trial made the operation possible with immediately post chest physical therapy. Intensive chest physical therapy was designed right after post-operation. The physical therapy contained relaxation, breathing assist with specific technique such as spring action technique and facilitation technique to diaphragm. As a result, the patient did not fall into respiratory failure after operation and 40 days later he was trasferred to rehabilitation center hospital.
社団法人日本理学療法士協会の論文
1984-12-10