Greene W, L'Heureux P, Hunt C E
Am J Dis Child. 1975 Dec;129(12):1402-5. doi: 10.1001/archpedi.1975.02120490020007.
Diaphragmatic paralysis has been mentioned infrequently as a cause of respiratory symptoms in children. During a three-year period, diaphragmatic paralysis has occurred in 12 neonates following birth trauma (six) or thoracotomy (six) and in four older children following thoracotomy. Spontaneous recovery occurred in all four older children and in five of the 12 neonates. Although two neonates became asymptomatic despite persistent paralysis, the remaining five neonates required prolonged intermittent positive-pressure breathing; two eventually died of secondary pneumonia, and three became asymptomatic only after plication of the affected diaphragm.
膈神经麻痹作为儿童呼吸道症状的病因很少被提及。在三年期间，12例新生儿在出生创伤（6例）或开胸术后（6例）出现膈神经麻痹，4例大龄儿童在开胸术后出现膈神经麻痹。所有4例大龄儿童及12例新生儿中的5例均出现自发恢复。尽管2例新生儿尽管持续性麻痹但仍无症状，但其余5例新生儿需要长时间间歇性正压通气；2例最终死于继发性肺炎，3例仅在对患侧膈肌进行折叠术后才无症状。
