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Physical Therapy for a Patient in Surgical Acute Pulmonary Embolectomy Complicated by Lung Hemorrhage:A case report Masato Nishizaki 1 , Toru Kimura 1 , Takeyuki Kanemura 2 , Tomonobu Okuno 3 1Department of Rehabilitation, IMS Katsushika Heart Center 2Department of Cardiovascular Surgery, IMS Katsushika Heart Center 3Department of Cardiology, IMS Katsushika Heart Center Keyword: 理学療法 , 早期離床 , 外科的急性肺動脈血栓塞栓摘除術 , physical therapy , early mobilization , surgical acute pulmonary embolectomy pp.97-102
Published Date 2012/1/15
DOI https://doi.org/10.11477/mf.1404101874
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 The purpose of this case report is to discuss the efficacy of physical therapy for a patient following acute surgical pulmonary embolectomy(SAPE)complicated by lung hemorrhage. A 69-year-old woman was admitted to our hospital following chest discomfort and unconsciousness. She was diagnosed as having acute pulmonary embolization and underwent emergency SAPE. During the operation, the complication of lung hemorrhage arose due to lung reperfusion injury, so she had to be supported by percutaneous cardiopulmonary support. On the postoperative day 5, we started respiratory physical therapy for prevention of respiratory complications and arange of motion exercises for prevention of deep venous thrombosis. On the postoperative day 10, she was able to sit on the edge of the bed and sit in a wheel chair. On the postoperative day 14, she did away with the mechanical ventilator and started standing and ambulating. On the postoperative day 21, She was transferred to another hospital. Physical therapy with early mobilization is suitable for the mechanism of respiratory dysfunction following SAPE. Her course of treatment was uneventful with regard to respiratory function and she improved ambulation and undertook activities of daily living. Physical therapy with early mobilization seems to be suitable for a patient following SAPE with lung hemorrhage.


Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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