中枢性神经源性呼吸衰竭：一项具有挑战性的诊断。
Central neurogenic respiratory failure: a challenging diagnosis.
作者信息
Carvalho Flávio A, Bernardino Tenille, Maciel Ricardo O H, Felizola Sérgio F A, Costa Eduardo L V, Silva Gisele S
机构信息
Department of Neurology and Neurosurgery, Federal University of São Paulo, School of Medicine, São Paulo, Brazil.
出版信息
Case Rep Neurol. 2011 Feb 23;3(1):75-81. doi: 10.1159/000324823.
BACKGROUND
Central nervous system lesions are rare causes of respiratory failure. Simple observation of the breathing pattern can help localize the lesion, but the examiner needs to be aware of potential pitfalls such as metabolic or pulmonary alterations.
METHODS
We describe 3 cases in which central neurogenic respiratory failure occurred simultaneously with other alterations or in an unusual presentation.
RESULTS
All patients were diagnosed with central neurogenic respiratory failure and treated for it with good recovery.
CONCLUSION
Central neurogenic respiratory failure is a challenging diagnosis and needs to be reminded in difficult-to-wean patients carrying inconclusive evidences of metabolic or pulmonary alterations.
背景
中枢神经系统病变是呼吸衰竭的罕见病因。简单观察呼吸模式有助于定位病变，但检查者需要意识到潜在的陷阱，如代谢或肺部改变。
方法
我们描述了3例中枢性神经源性呼吸衰竭与其他改变同时发生或表现异常的病例。
结果
所有患者均被诊断为中枢性神经源性呼吸衰竭并接受治疗，恢复良好。
结论
中枢性神经源性呼吸衰竭是一个具有挑战性的诊断，对于代谢或肺部改变证据不明确、难以脱机的患者需要予以警惕。
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