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小儿心脏手术后的膈肌麻痹:无创通气的作用

Diaphragmatic paralysis after pediatric heart surgery: usefulness of non-invasive ventilation.

作者信息

Oktem Sedat, Cakir Erkan, Uyan Zeynep Seda, Karadag Bulent, Hamutcu Refika Ersu, Kiyan Gursu, Akalin Figen, Karakoc Fazilet, Dagli Elif

机构信息

Division of Pediatric Pulmonology, Marmara University, Istanbul, Turkey.

出版信息

Int J Pediatr Otorhinolaryngol. 2010 Apr;74(4):430-1. doi: 10.1016/j.ijporl.2010.01.002. Epub 2010 Jan 22.

Abstract

Diaphragmatic paralysis after cardiac surgery is an important complication especially in infants. We report a child who developed diaphragmatic paralysis, atelectasis, bronchomalasia and respiratory failure following cardiac surgery. Ventilatory support alleviated respiratory distress in this child. This report illustrates the usefulness of invasive and non-invasive ventilatory support for a pediatric patient with diaphragmatic paralysis.

摘要

心脏手术后膈肌麻痹是一种重要的并发症,尤其在婴儿中。我们报告了一名儿童,其在心脏手术后出现膈肌麻痹、肺不张、支气管软化和呼吸衰竭。通气支持缓解了该患儿的呼吸窘迫。本报告说明了有创和无创通气支持对患有膈肌麻痹的儿科患者的有效性。

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