高位脊髓损伤的膈神经电刺激起搏与拔管：病例系列
Electrophrenic pacing and decannulation for high-level spinal cord injury: a case series.
作者信息
Bolikal Priya, Bach John R, Goncalves Miguel
机构信息
Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, University Hospital, Newark, NJ 07103, USA.
出版信息
J Spinal Cord Med. 2012 May;35(3):170-4. doi: 10.1179/2045772311Y.0000000056. Epub 2012 Feb 7.
Abstract
BACKGROUND
In 1997, guidelines were developed for the management of high-level ventilator-dependent patients with spinal cord injury who had little or no ventilator-free breathing ability (VFBA). This article describes the three categories of patients, the decannulation criteria, and the successful decannulation of four patients with no VFBA and electrophrenic/diaphragm pacing, using these criteria.
METHOD
Case series.
CONCLUSION
Lack of VFBA in patients with high-level spinal cord injury does not mandate tracheostomy or electrophrenic/diaphragm pacing.
摘要
背景
1997年，针对几乎没有或完全没有自主呼吸能力（VFBA）的高位脊髓损伤且依赖呼吸机的患者制定了管理指南。本文描述了三类患者、拔管标准，以及使用这些标准对四名无自主呼吸能力且采用膈神经/膈肌起搏的患者成功进行拔管的情况。
方法
病例系列研究。
结论
高位脊髓损伤患者缺乏自主呼吸能力并不意味着必须进行气管切开术或膈神经/膈肌起搏。
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