Jog S M, Patole S K
Department of Neonatology, Kirwan Hospital for Women, Townsville, Queensland, Australia.
J Paediatr Child Health. 2002 Feb;38(1):101-3. doi: 10.1046/j.1440-1754.2002.00758.x.
Mortality and morbidity associated with surgical management of patent ductus arteriosus (PDA) in neonates has been reported to vary from 0% to 44%. Complications like pneumothorax, pleural effusion, recurrent nerve and phrenic nerve injury are associated with surgical closure of PDA. An extremely low birthweight neonate with diaphragmatic paralysis following phrenic nerve injury during surgical closure of PDA is reported. Delay in diaphragmatic plication for over two weeks while waiting for spontaneous recovery was associated with significant morbidity including chronic lung disease. The controversies associated with timing of diaphragmatic plication in high-risk neonates are discussed.
据报道，新生儿动脉导管未闭（PDA）手术治疗的死亡率和发病率在0%至44%之间。气胸、胸腔积液、喉返神经和膈神经损伤等并发症与PDA手术闭合有关。本文报道了一例极低出生体重儿在PDA手术闭合过程中发生膈神经损伤后出现膈肌麻痹的病例。在等待自发恢复期间，膈肌折叠术延迟超过两周，这与包括慢性肺病在内的严重发病率相关。本文还讨论了高危新生儿膈肌折叠术时机的相关争议。
