Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto General Hospital, 200 Elizabeth Street, Room 9N-955, Toronto, ON, Canada.
Thorac Surg Clin. 2009 Nov;19(4):501-10. doi: 10.1016/j.thorsurg.2009.08.011.
Acquired DP in adults is multifactorial. Symptoms largely depend on whether or not the paresis is unilateral or bilateral and on the etiology, onset, progression, and presence of underlying pulmonary disease. UDP is a well-tolerated condition with a favorable prognosis. Diaphragmatic plication is indicated in carefully selected patients with UDP and can be done by minimally invasive techniques. Patients with BDP are usually severely symptomatic and require some form of mechanical ventilatory support. Diaphragmatic pacing is an option for a select group of patients with BDP in centers with specialized expertise.
成人获得性膈肌麻痹是多因素的。症状在很大程度上取决于无力是单侧还是双侧的，以及病因、发病、进展和潜在肺部疾病的存在。UDP 是一种耐受良好的疾病，预后良好。在经过精心选择的 UDP 患者中，膈神经折叠术是一种可行的治疗方法，并且可以通过微创手术来完成。BDP 患者通常症状严重，需要某种形式的机械通气支持。膈神经起搏是具有专业专长的中心的一组特定 BDP 患者的选择。
