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特发性肺泡低通气的成功膈肌起搏治疗。

Successful diaphragmatic pacing for idiopathic alveolar hypoventilation.

作者信息

Doblas A, Herrera M, Venegas J, Barba R, Rodriguez M, Barrot E

机构信息

Intensive Care Unit, General Hospital, Huelva, Spain.

出版信息

Intensive Care Med. 1990;16(7):469-71. doi: 10.1007/BF01711230.

DOI:10.1007/BF01711230
PMID:2269719
Abstract

We describe the case of a 17-year-old woman noted to have idiopathic alveolar hypoventilation, with multiple Intensive Care Unit (ICU) admissions because of acute respiratory failure (ARF) due to respiratory infections. After two years of diaphragmatic pacing arterial blood gases have substantially improved, without obstructive apnoea. Signs of right ventricular enlargement and pulmonary hypertension have decreased. Morning headache and diurnal somnolence have disappeared, and she is also able to perform more physical and mental activity, allowing her to enjoy a better quality of life.

摘要

我们描述了一名17岁女性的病例,该患者被诊断为特发性肺泡低通气,因呼吸道感染导致急性呼吸衰竭(ARF)多次入住重症监护病房(ICU)。经过两年的膈肌起搏治疗,动脉血气显著改善,无阻塞性呼吸暂停。右心室扩大和肺动脉高压的体征减轻。晨起头痛和日间嗜睡消失,她还能够进行更多的体力和脑力活动,生活质量得到了提高。

相似文献

1
Successful diaphragmatic pacing for idiopathic alveolar hypoventilation.特发性肺泡低通气的成功膈肌起搏治疗。
Intensive Care Med. 1990;16(7):469-71. doi: 10.1007/BF01711230.
2
Reversal of pulmonary hypertension after diaphragm pacing in an adult patient with congenital central hypoventilation syndrome.先天性中枢性低通气综合征成年患者膈肌起搏后肺动脉高压的逆转
Int J Artif Organs. 2013 Jun 25;36(6):434-8. doi: 10.5301/ijao.5000197. Epub 2013 May 8.
3
[Diaphragm pacemaker implantation: a case report of central hypoventilation due to cerebellar bleeding].[膈肌起搏器植入术:一例因小脑出血导致中枢性通气不足的病例报告]
Nihon Geka Gakkai Zasshi. 1984 Apr;85(4):318-23.
4
Conditioning of the diaphragm by phrenic nerve pacing in primary alveolar hypoventilation.原发性肺泡通气不足时膈神经起搏对膈肌的调节作用
Thorax. 1988 Dec;43(12):1017-8. doi: 10.1136/thx.43.12.1017.
5
Lung function in diaphragm pacing.膈肌起搏时的肺功能
Can Med Assoc J. 1979 Jun 9;120(11):1360-8.
6
Diaphragm pacing: present status.膈肌起搏:现状
Pacing Clin Electrophysiol. 1978 Jul;1(3):357-70. doi: 10.1111/j.1540-8159.1978.tb03491.x.
7
Diaphragm pacing in spinal muscular atrophy: case report.
Neurosurgery. 1981 Sep;9(3):317-9.
8
Diaphragmatic pacing in the treatment of hypoventilation syndrome.膈肌起搏治疗通气不足综合征
J Thorac Cardiovasc Surg. 1967 Nov;54(5):649-57.
9
Early use of an implantable diaphragm pacing stimulator for a child with severe acute flaccid myelitis-a case report.早期使用植入式膈肌起搏刺激器治疗一名患有严重急性弛缓性脊髓炎的儿童——病例报告
Spinal Cord Ser Cases. 2019 Jul 17;5:67. doi: 10.1038/s41394-019-0207-7. eCollection 2019.
10
Thoracoscopic placement of phrenic nerve pacers for diaphragm pacing in congenital central hypoventilation syndrome.胸腔镜下植入膈神经起搏器用于先天性中枢性低通气综合征的膈肌起搏
J Pediatr Surg. 2015 Jan;50(1):78-81. doi: 10.1016/j.jpedsurg.2014.10.002. Epub 2014 Dec 23.

本文引用的文献

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Central alveolar hypoventilation syndromes.中枢性肺泡低通气综合征
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Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing.
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Response of the diaphragm muscle to electrical stimulation of the phrenic nerve. A histochemical and ultrastructural study.膈肌对膈神经电刺激的反应。一项组织化学和超微结构研究。
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5
Ventilatory support by pacing of the conditioned diaphragm in quadriplegia.四肢瘫痪患者中通过刺激条件化膈肌进行通气支持。
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6
A clinical method for assessing the ventilatory response to carbon dioxide.一种评估对二氧化碳通气反应的临床方法。
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Radio-frequency electrophrenic respiration. Long-term application to a patient with primary hypoventilation.
JAMA. 1968 Mar 18;203(12):1033-7. doi: 10.1001/jama.203.12.1033.
8
Failure of automatic control of ventilation (Ondine's curse). Report of an infant born with this syndrome and review of the literature.通气自动控制功能衰竭(翁迪内氏诅咒)。一例患有该综合征的新生儿病例报告及文献综述。
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Twenty years of experience in phrenic nerve stimulation to pace the diaphragm.
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10
Combined central alveolar hypoventilation and upper airway obstruction. Treatment by tracheostomy and diaphragm pacing.中枢性肺泡低通气合并上气道梗阻。气管切开术及膈肌起搏治疗。
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