Pulmonary Rehabilitation Program for a Patient with Systemic Lupus Erythematosus Complicated with Acute Infection, Lobar Atelectasis and Severely Restrictive Ventilatory Impairment: A Case Report

紅斑性狼瘡併發急性感染、肺葉膨脹不全及嚴重限制性換氣不良病患之肺臟復健計畫：病例報告

許雅雯(Ya-Wen Hsu) ； 王志龍(Jue-Long Wang) ； 楊謹慎(Jin-Shen Yang) ； 林克隆(Ko-Long Lin)

《台灣復健醫學雜誌》 32卷2期 (2004/06) Pp. 83-89

https://doi.org/10.6315/2004.32(2)05

摘要

在擬定紅斑性狼瘡病患的治療計畫時，正確地認知肺部狠瘡侵犯是非常重要的。無症狀的肺部狼瘡侵犯不需要特別治療，然而，有些肺部狼瘡侵犯卻可能致命，此時積極的介入治療是必須的。我們報告的病例是一位併發肺葉膨脹不全及嚴重限制性換氣不良的紅斑性狼瘡病患，並在文中描述心肺復健如何幫助她渡過急性感染期。我們經由這個病例了解到，針對苦於呼吸窘迫的紅斑性狼瘡病患個人需求而擬定之肺臟復健計畫，應及早建立。

關鍵字

紅斑性狠瘡 ； 肺臟復健

並列摘要

An exact identification among the subsets of pulmonary lupus is important in planning efficacious therapy. Asymptomatic pulmonary lupus needs no specific treatment, while prompt and aggressive treatment is mandatory for the potential life-threatening pulmonary version. We present a case of systemic lupus erythematosus(SLE)with lobar atelectasis and severely restricted lung impairment and illustrate how a pulmonary rehabilitation program aided therapy during the acute infectious episode. An individualized pulmonary rehabilitation program for SLE patients compromised with chest distress may thus be a prudent course of action.

並列關鍵字

systemic lupus erythematosus ； pulmonary rehabilitation