背景與目的︰葉克膜之臨床應用已有30多年歷史，可提供短期部份心肺功能的支持，現在因照護
的進步，病患使用時間大幅增長，過去並無文獻探討這類病人後續之物理治療內容及其成效。本
報告調閱臺大醫院自2007年5月至2008年3月使用葉克膜之成人心臟病患者之病歷，紀錄其人口
學和疾病相關資料，以及物理治療內容和成效。病例描述和成效︰ 18名曾使用葉克膜之成人心臟
病患者中，有8名患者於住院期間接受過物理治療心臟復健概念架構下之漸進式功能訓練，出院
前除了一位使用助行器行走，其餘均可上下樓梯。三位病人曾接受門診訓練，兩位訓練時間長，
一名是因神經系統之併發症，另一名則是因欠缺居家自我訓練之動機。一年後7位病人有左心室射
出率之追蹤結果，僅一位低於正常，但較之前進步。結論︰葉克膜協助支持心臟重症患者之心肺
功能，得以過渡至後續之治療，而物理治療訓練可進一步使患者在出院前得以恢復大部分之日常
生活功能，病人一年後心臟功能多為正常。（物理治療 2009;34(5):297-303）

Background and Purpose: Extracorporeal membrane oxygenation (ECMO) has been applied in clinics for more than 30 years. It is a treatment of temporary and partial cardiac and/or respiratory support. Due to the advanced medical care, a longer period of use has been reported. Few
studies reported the program and/or effects of physical therapy for cardiac patients after ECMO support. This report was to describe the physical therapy experiences in adult cardiac patients with ECMO support from May 2007 to March 2008 in National Taiwan University Hospital.
There were eight patients out of 18 who were referred to physical therapy. Medical charts and physical therapy reports were reviewed and the demographic data, severity of the disease, ECMO courses and outcomes of physical therapy were recorded. Case description and outcomes: The included eight patients all had progressive functional training with guidelines for cardiac rehabilitation during the hospitalization. Among them, seven patients could climb stairs and one patient ambulated with walker at discharge. Three patients had physical therapy from the out-patient department. Two of them had quite long training because of neurological complication in one patient and lacking motivation for self-training at home in the other one. Seven patients had left ventricular ejection fraction (LVEF) follow-ups at one-year, only one heart failure
patient remained subnormal but improved than before. Conclusion: ECMO can rescue some patients with severe cardiac diseases. Physical therapy intervention further assists these patients in regaining their functional activity level before discharge. Ejection fraction of left ventricle in most of the patients is within normal range at one-year follow-up. (FJPT 2009;34(5):297-303)