Aguirre Victor J, Sinha Priyanka, Zimmet Adam, Lee Geraldine A, Kwa Lachlan, Rosenfeldt Franklin
Cardiac Surgical Research Unit, Alfred Hospital and Monash University, Melbourne, Australia.
Heart Lung Circ. 2013 Nov;22(11):895-902. doi: 10.1016/j.hlc.2013.06.010. Epub 2013 Aug 13.
Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. Various mechanisms of injury have been recognised including hypothermia, mechanical trauma and possibly ischaemia. A clear understanding of these mechanisms is important in order to modify surgical techniques to prevent this serious complication of cardiac surgery.
膈神经损伤是心脏手术中一种公认的并发症，可导致膈肌功能障碍引起致残性后果，尤其是在儿童和有慢性阻塞性气道疾病史的患者中。已认识到多种损伤机制，包括低温、机械创伤以及可能的缺血。清楚了解这些机制对于改进手术技术以预防心脏手术的这一严重并发症很重要。
