Brûlé J F, Leriche B, Normand J, Khalife S, Torabi D, Vallée D
Etablissements Hélio Marins, Berck-sur-Mer.
Neurochirurgie. 1991;37(2):127-32.
Phrenic stimulation is reserved for the rare patients with central neurogenic apnea due to isolated upper spinal cord injuries. Presenting a series of ten cases the authors describe the indications for phrenic stimulation, the technique of implantation and the conditions for diaphragmatic training by the use of stimulation by low frequency trains allowing for an increase in the number of low muscular fibers. The continuation of accompanying neurological rehabilitation and nursing of these severely handicapped patients is not to be neglected because of the length of the training protocole as the aim is their return home. This technique, therefore, seems particularly suitable for application in a few specialized centers where research for material totally implantable and adapted to the physiological requirements of the patient can be conducted parallel to treatment.
膈神经刺激术仅适用于因孤立性上脊髓损伤导致中枢性神经源性呼吸暂停的罕见患者。作者介绍了十例病例，描述了膈神经刺激的适应症、植入技术以及通过使用低频串刺激进行膈肌训练的条件，这种刺激可增加慢肌纤维数量。由于训练疗程较长，且目标是让这些严重残疾患者回家，因此不能忽视对他们进行伴随的神经康复和护理。因此，这项技术似乎特别适合在一些专门中心应用，在这些中心，可以在治疗的同时开展对完全可植入且适合患者生理需求的材料的研究。
