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肺間質疾病-肺部復健計畫2:肺癌與肺動脈高壓

開刀後病人的床上運動包括 : 上肢運動、下肢運動。

江老師繼續介紹肺部復健計畫2,針對肺癌病患的復健。

開刀後病人的床上復健運動包括 : 上肢運動、下肢運動。如感到頭暈、噁心、呼吸困難或心律不整,需立即休息。在制定肺癌患者的復健計畫時,需考量病人之焦慮心理支持、止痛技巧之教導及手術/化療/電療利弊之認識等等。而無論是否開刀,運動訓練對病人皆是有好處的。

接下來會提到肺動脈高壓疾病,肺動脈高壓疾病為進行性的肺血管疾病,平均肺動脈壓與血管阻力持續上升,但與左側心臟疾病引起的肺靜脈高壓、呼吸系統疾病引起的肺高壓、栓塞性疾病引起的肺高壓無關。常見臨床症狀為非典型胸痛、心悸、暈眩。造成肺動脈血管阻力持續上升的原因有三,包括血管收縮、肺血管構造改變、原位血栓形成。這些改變讓肺血管床轉為低流量高壓力的系統,使右心室負荷量增加,進而呈現呼吸困難與活動受限。

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肺部復健系列: Part2

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