Murray K D, Kalanges L K, Weiland J E, Binkley P F, Howanitz E P, Galbraith T A, Myerowitz P D
Division of Thoracic and Cardiovascular Surgery, Ohio State University Hospitals and Clinics, Columbus.
J Card Surg. 1991 Mar;6(1):62-7. doi: 10.1111/j.1540-8191.1991.tb00565.x.
Platypnea-orthodeoxia is an infrequently reported clinical form of position dependent dyspnea and oxygen desaturation. There are several diverse etiologies for this syndrome. This case report of a patient with platypnea-orthodeoxia is the first known presentation of a case secondary to a patent foramen ovale and idiopathic hemidiaphragm paralysis. A major problem with this disease is the clinical recognition of its existence. Full recovery is possible with proper assessment of clinical signs and symptoms, appropriate noninvasive diagnostic tests, and corrective surgery in selective cases.
平卧呼吸-直立性低氧血症是一种较少报道的与体位相关的呼吸困难和氧饱和度降低的临床形式。该综合征有多种不同病因。本例平卧呼吸-直立性低氧血症患者的病例报告是已知首例继发于卵圆孔未闭和特发性半膈肌麻痹的病例。这种疾病的一个主要问题是临床对其存在的认识。通过对临床体征和症状进行适当评估、采用合适的非侵入性诊断测试以及在选择性病例中进行矫正手术，有可能实现完全康复。
