Successful surgery for a neuromuscular scoliosis patient by pulmonary rehabilitation with forced vital capacity below 30%
Successful surgery for a neuromuscular scoliosis patient by pulmonary rehabilitation with forced vital capacity below 30%
复制标题
成功%20手术%20用于%20a%20神经肌肉%20脊柱侧弯%20患者%20by%20肺%20康复%20与%20强迫%20生命%20容量%20以下%2030%
DOI：
10.1007/s00586-017-5441-8
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发表时间：
2018-09-01
影响因子：
2.8
通讯作者：
Su，Peiqiang
中科院分区：
文献类型：
--
作者：
Han，Kai;Wang，Yongqian;Su，Peiqiang
本文报告一例罕见的15岁男性神经肌肉性脊柱侧凸患者，用力肺活量（FVC）低于30%，手术成功，无任何肺部并发症。患者肩部明显不对称，运动耐量差。主胸弯Cobb角为62.8°，坐位FVC为预测值的18%。经过颅骨牵引和肺功能康复后，FVC仍低于30%，他终于在这种严重的情况下接受了手术。通过使用家用呼吸机进行早期肺康复，患者成功康复，无任何肺部并发症。患者症状完全缓解，随访期间未发现Cobb角恶化。
A rare case of a 15-year-old male patient with neuromuscular scoliosis with forced vital capacity (FVC) below 30%, who went through a successful surgery without any pulmonary complications, is reported herein. The patient had obvious asymmetric shoulders and poor exercise tolerance. The Cobb’s angle of the main thoracic curve was 62.8°, and FVC in sitting position was 18% of predictive value. After skull traction and pulmonary rehabilitation, the FVC was still below 30%, and he finally went through surgery under this serious condition. By early pulmonary rehabilitation using home ventilator, he successfully recovered without any pulmonary complications. The patient had complete symptom remission and no deterioration of Cobb’s angle was found during follow-up.