Martha Lillard died on June 26 in Oklahoma. She was 78 years old. She used a machine called an iron lung to help her breathe.

Martha Lillard 於 6 月 26 日在奧克拉荷馬州去世，享年 78 歲。她使用一台稱為「鐵肺」的機器來幫助呼吸。

Martha got a disease called polio when she was five. It stopped her from moving her body. She lived inside a big metal tube. This machine helped her lungs work.

Martha 在五歲時患上了一種稱為小兒麻痺的疾病，導致她無法移動身體。她住在一個巨大的金屬筒中，這台機器幫助她的肺部運作。

Martha worked hard to learn. She went to school and had teachers at home. Her family helped her move in special cars. Later, she could move her arm and legs a little bit.

Martha 非常努力地學習。她去學校就讀，家中也有老師指導。她的家人幫助她使用特殊的車輛移動。後來，她的手臂和腿部可以稍微移動了。

Martha used the internet to meet a man from Egypt. They talked for twenty years. They got married in February of this year.

Martha 透過網路認識了一名來自埃及的男子。他們交談了二十年，並於今年 2 月結婚。

Polio was common before 1955. Then, doctors made a vaccine. Now, people in the US do not get polio.

小兒麻痺在 1955 年之前很普遍。隨後醫生開發了疫苗。現在，美國的人們不再患小兒麻痺。

Martha Lillard was the last person in the US who needed an iron lung.

Martha Lillard 是美國最後一名需要使用鐵肺的人。

Martha Lillard, the last American citizen who used an iron lung to help her breathe after contracting polio as a child, died on June 26 in Oklahoma at the age of 78.

Martha Lillard 是最後一名在童年染上小兒麻痺後，依靠鐵肺協助呼吸的美國公民，她於 6 月 26 日在奧克拉荷馬州去世，享年 78 歲。

Martha's medical problems began at age five when she contracted polio, which caused paralysis from the neck down. Because of this, she had to use a negative-pressure ventilator, known as an iron lung, which helped her breathe by changing the air pressure inside a metal chamber. Although doctors originally predicted she would not live past twenty, she achieved many goals through adaptive methods. For example, she received an education through a mix of limited classroom visits and private tutoring, using an intercom system to participate in lessons from home. Furthermore, her family helped her travel by using custom transport and checking if hotels were accessible.

Martha 的醫療問題始於五歲時染上小兒麻痺，導致頸部以下癱瘓。因此，她必須使用一種被稱為「鐵肺」的負壓呼吸機，透過改變金屬腔室內的氣壓來協助她呼吸。儘管醫生最初預測她無法活過二十歲，但她透過適應方法實現了許多目標。例如，她透過有限的課堂訪問與私人補習接受教育，並使用對講系統在家中參與課程。此外，她的家人透過使用特製交通工具並確認酒店是否具備無障礙設施來幫助她旅行。

Later in life, medical treatments allowed her to regain some movement in her left arm and legs, which even enabled her to drive a car for a short time. In recent years, digital communication allowed her to maintain a twenty-year relationship with a man from Egypt. Consequently, they were married in February of this year after he received a visa.

在生命後期，醫療治療讓她的左臂和左腿恢復了部分活動能力，甚至使她能在短時間內開車。近年來，數位通訊讓她與一名埃及男子維持了二十年的關係。因此，在對方獲得簽證後，他們於今年二月結婚。

From a medical perspective, Martha's condition represents a time before the polio vaccine was introduced in 1955. The Centers for Disease Control and Prevention emphasized that widespread vaccination caused a rapid decline in cases, and the disease was declared gone from the U.S. by 1979. Martha's death follows that of Paul Alexander, another well-known long-term iron lung patient who died two years ago.

從醫學角度來看，Martha 的病情代表了 1955 年小兒麻痺疫苗推出之前的時代。美國疾病控制與預防中心強調，大規模接種疫苗導致病例迅速下降，該疾病於 1979 年被宣布在美國消失。Martha 的去世繼在另一位知名的長期鐵肺患者 Paul Alexander 之後，後者於兩年前去世。

The death of Martha Lillard marks the end of the era of iron lung dependency in the United States.

Martha Lillard 的去世，標誌著美國依賴鐵肺的時代正式結束。

Martha Lillard, the last American citizen utilizing an iron lung for respiratory support following a childhood polio diagnosis, died on June 26 in Oklahoma at age 78.

Martha Lillard 是最後一位因童年確診小兒麻痺而使用「鐵肺」維持呼吸支持的美國公民，她於 6 月 26 日在奧克拉荷馬州去世，享年 78 歲。

The subject's medical history commenced at age five with the contraction of poliomyelitis, resulting in paralysis from the neck down. This necessitated the use of a negative-pressure ventilator, which facilitated pulmonary function by modulating atmospheric pressure within a cylindrical chamber. Despite a clinical prognosis suggesting a life expectancy not exceeding twenty years, the subject achieved significant milestones through adaptive measures. Educational attainment was facilitated via a hybrid model of limited classroom attendance and comprehensive tutoring, supplemented by an intercom system for remote academic engagement. Mobility was further enabled by familial logistical coordination, involving custom transport and the verification of architectural accessibility at lodging facilities.

該對象在五歲時感染小兒麻痺，導致頸部以下癱瘓。這使得她必須使用負壓呼吸器，透過調節圓筒室內的大氣壓力來協助肺功能。儘管臨床預後顯示其預期壽命不超過二十年，但該對象透過適應性措施達成了重要里程碑。其教育達成是透過一種混合模式，包括有限度的課堂出席與全面的家教輔導，並輔以對講系統進行遠端學術參與。

Subsequent therapeutic interventions permitted a partial restoration of motor function in the left upper extremity and lower limbs, which briefly enabled the subject to operate a motor vehicle. In later years, digital communication facilitated a two-decade correspondence with an Egyptian national, culminating in a marriage in February of the current year following the issuance of a visa.

此外，在家庭物流協調下，包括使用客製化交通工具以及核實住宿設施的建築無障礙環境，使其能夠移動。隨後的治療干預使其左上肢與下肢恢復了部分運動功能，短時間內甚至能駕駛汽車。

From an epidemiological perspective, the subject's condition reflects a historical era prior to the 1955 introduction of the polio vaccine. The Centers for Disease Control and Prevention notes that widespread immunization led to a precipitous decline in cases, with the disease declared eliminated within the U.S. by 1979. The subject's death follows that of Paul Alexander, another prominent long-term iron lung patient, who died two years prior.

在晚年，數位通訊促成了她與一名埃及國民長達二十年的通信，並在今年二月對方取得簽證後結婚。從流行病學角度來看，該對象的情況反映了 1955 年小兒麻痺疫苗推出之前的歷史時代。美國疾病控制與預防中心指出，廣泛的疫苗接種導致病例驟減，美國於 1979 年宣布該疾病已消滅。該對象的去世繼於另一位著名的長期鐵肺患者 Paul Alexander 之後，後者於兩年前去世。

The death of Martha Lillard marks the conclusion of the era of iron lung dependency in the United States.

Martha Lillard 的去世，標誌著美國依賴鐵肺時代的結束。