物理治疗减轻急性胰腺炎合并症的胸部并发症:年轻女性的罕见病例。
Physiotherapy to Alleviate Chest Complications in Acute Pancreatitis With Comorbidities: A Rare Case of Young Female.
发表日期:2024 Jun
作者:
Chitwan S Agrawal, Vaishnavi Yadav, Dhanshri Nikhade
来源:
Burns & Trauma
摘要:
胸腔积液的异常积聚(称为胸腔积液)是由于过度形成和吸收之间的不平衡造成的。尽管胸腔积液的原因多种多样,包括肺炎、充血性心力衰竭和癌症,但大多数病例归因于胸腔积液。急性胰腺炎还会导致全身炎症反应综合征等并发症。对一系列伤口(包括创伤和感染、烧伤和胰腺炎)的复杂病理生理反应被称为全身炎症反应综合征。人们认识到,多种损伤表现出类似的炎症反应,这使得它们成为新型抗炎分子的主要候选者,旨在阻止炎症扩散或提供靶向治疗。局部炎症是身体在受伤部位调节的一种保护性反应,如果丢失或过度激活,可能会导致全身反应加剧,称为全身炎症反应综合征。患者是一名 19 岁女性,来到 Acharya Vinoba Bhave 乡村医院时,主诉腹痛八天,腹胀三到四天,呼吸困难三到四天,并发烧。 根据患者的情况,她已经有八天无法进行正常的日常生活活动。她已经呼吸困难八天了,四天前病情加重。她被诊断患有胸腔积液、急性胰腺炎和全身炎症反应综合征。该病例非常独特,因为患者非常年轻,同时患有严重胰腺炎、缺血性心脏病、全身炎症反应综合征、肺实变和胸腔积液等多种健康问题,病情危重。本研究旨在确定该患者在接受物理治疗后的改善情况。物理治疗包括改变生活方式以减轻体重、每天进行锻炼、呼吸练习、气道清理技术、容积激励肺活量计分段扩张、吸气肌训练、胸部动员、胸部本体感觉神经肌肉促进(PNF)和分级动员以改善患者状况。当添加到标准护理中时,物理治疗计划可以改善胸腔积液患者的放射学结果、肺活量参数和住院时间。版权所有 © 2024,Agrawal 等人。
An abnormal buildup of pleural fluid, known as a pleural effusion, results from an imbalance between excessive formation and absorption. Despite the wide range of pleural effusion causes, including pneumonia, congestive heart failure, and cancer, the majority of cases are attributed to pleural fluid buildup. Acute pancreatitis also leads to complications such as systemic inflammatory response syndrome. A complex pathophysiologic reaction to a range of wounds, including trauma and infections, burns, and pancreatitis, is known as systemic inflammatory response syndrome. It was recognized that a variety of injuries exhibited a similar inflammatory response, making them prime candidates for new anti-inflammatory molecules designed to stop the spread of inflammation or provide targeted therapy. Localized inflammation, a protective response that the body regulates at the site of the injury, can, if lost or overly activated, result in a heightened systemic response known as systemic inflammatory response syndrome. The patient is a 19-year-old female who arrived at Acharya Vinoba Bhave Rural Hospital with complaints of abdominal pain for eight days, abdominal distension for three to four days, breathing difficulty for three to four days, and fever. According to the patient's condition, she was unable to perform normal activities of daily living for eight days. She had breathlessness for eight days, which worsened four days ago. She was diagnosed with pleural effusion, acute pancreatitis, and systemic inflammatory response syndrome. This case is unique as the patient is very young and she has multiple health issues such as severe pancreatitis, ischemic heart disease, systemic inflammatory response syndrome, pulmonary consolidation, and pleural effusion at the same time which makes this condition critical. This study aimed to identify the improvement in this patient after getting physiotherapy treatment. Physiotherapy treatment included lifestyle modifications to reduce weight, performing exercise on a daily basis, breathing exercises airway clearance technique, volumetric incentive spirometer segmental expansion, inspiratory muscle training, chest mobilization, chest proprioceptive neuromuscular facilitation (PNF), and graded mobilization to improve patient condition. When added to standard care, a physiotherapy program improves radiological results, spirometric parameters, and hospital stays in pleural effusion patients.Copyright © 2024, Agrawal et al.