Shiraishi Y, Miyamoto T, Shimada I, Pak C, Shinkura N, Ohno N
Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kita-Kyushu, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Oct;39(10):1927-31.
Bilateral phrenic nerve paralysis is a very rare complication in open-heart surgery. An 65-year-old woman sustained respiratory distress after coronary artery bypass grafting because of bilateral phrenic nerve paralysis. Bilateral diaphragmatic plication was performed on the 43rd postoperative day. She successfully weaned from ventilator support without difficulty a few days after plication. We believe that surgical plication of the diaphragm is a safe and effective technique for a distressed adult patient with paralyzed diaphragm.
双侧膈神经麻痹是心脏直视手术中一种非常罕见的并发症。一名65岁女性在冠状动脉搭桥术后因双侧膈神经麻痹出现呼吸窘迫。术后第43天行双侧膈肌折叠术。折叠术后几天，她顺利撤机，未遇困难。我们认为，对于成年膈肌麻痹且病情危急的患者，手术行膈肌折叠术是一种安全有效的技术。
