Padman R, McNamara R
Division of Pulmonary Disease, Alfred I. du Pont Institute.
Del Med J. 1990 May;62(5):999-1003.
Children with neuromuscular scoliosis may develop restrictive pulmonary disease, with substantially lower than normal predicted lung function. Posterior spinal fusion (PSF) is often used to slow down this rapid deterioration of pulmonary function. Postoperatively, these patients frequently develop pulmonary complications. In this retrospective study of 38 patients with neuromuscular scoliosis who underwent PSF, the preoperative vital capacity was related to postoperative pulmonary complications and need for postoperative ventilatory assistance. In two patients who developed postoperative atelectasis and pulmonary edema, the preoperative vital capacity was 44% of that predicted. In six patients who developed atelectasis only, it was 49.2%. In the remaining 30 patients who developed no postoperative pulmonary complications, the average was 64.6%. Low preoperative vital capacity was also shown to correlate with the need for longer postoperative ventilatory assistance. The preoperative vital capacity is an important prognostic parameter in evaluating postoperative pulmonary recovery.
患有神经肌肉型脊柱侧弯的儿童可能会发展为限制性肺病，其肺功能远低于正常预测值。后路脊柱融合术（PSF）常用于减缓肺功能的这种快速恶化。术后，这些患者经常出现肺部并发症。在这项对38例行PSF的神经肌肉型脊柱侧弯患者的回顾性研究中，术前肺活量与术后肺部并发症及术后通气辅助需求有关。在两名发生术后肺不张和肺水肿的患者中，术前肺活量为预测值的44%。在六名仅发生肺不张的患者中，该值为49.2%。在其余30名未发生术后肺部并发症的患者中，平均值为64.6%。术前肺活量低还与术后需要更长时间的通气辅助相关。术前肺活量是评估术后肺恢复情况的一个重要预后参数。
