The Experience in Respiratory Care of a Patient with Cervical Spinal Cord Injury

頸椎損傷患者之呼吸照護經驗

陳曉宜(Shiauyee Chen) ； 林乾閔(Chien-Min Lin) ； 李俊年(Chun-Nin Lee) ； 黃卓禕(Cho-Yi Huang) ； 江玲玲(Ling-Ling Chiang)

《物理治療》 33卷5期 (2008/10) Pp. 294-301

摘要

高位頸椎脊髓損傷患者有極高的危險性發生呼吸衰竭及相關的呼吸併發症。呼吸肌的偏癱無力常導致病患需要仰賴呼吸器。這個個案報告我們所要呈現的是協助一位C4到C5不完全脊髓損傷的66歲男性病患脫離呼吸器的照護過程。我們所提供的計劃包括夜間通氣支持、胸腔物理治療、肺部擴張治療及吸氣肌訓練。

關鍵字

脊髓損傷 ； 呼吸照護 ； 發聲閥 ； 吸氣肌訓練

並列摘要

Patients with high-level cervical spinal cord injury are at high risk of respiratory insufficiency and related complications. Paralysis of respiratory muscles often requires the use of mechanical ventilation. In this case, we present an approach to respiratory care for a 66-year-old male patient with C4-C5 spinal cord injury (ASIA-B). A weaning progression from mechanical ventilation was presented through the following programs: nocturnal support, intensive chest care, lung expansion therapy, speaking valve training, and inspiratory muscle training.

並列關鍵字

Spinal cord injury ； Respiratory care ； Speaking valve ； Inspirtory muscle training