Mondal Alolika, Giri Prabhas Prasun
Department of Pediatrics, Institute of Child Health, Kolkata, West Bengal, India.
Pediatric Intensive Care Unit (PICU), Institute of Child Health, Kolkata, West Bengal, India.
Indian J Crit Care Med. 2018 Apr;22(4):303-305. doi: 10.4103/ijccm.IJCCM_451_17.
Hypoventilation syndrome leading to Type 2 respiratory failure is not a rare cause of Pediatric Intensive Care Unit admission and mechanical ventilation. Common causes in pediatric population are Guillain-Barre syndrome and various central nervous system disorders such as encephalitis, traumatic brain injury, and drugs. Any injury or disease in the cervical cord can also produce respiratory paralysis causing respiratory failure. Here, we present two cases of mixed cerebral palsy with cervical myelopathy due to compression effect of fractured segments of first and second cervical vertebrae. Both of them presented with Type 2 respiratory failure.
导致Ⅱ型呼吸衰竭的通气不足综合征并非儿科重症监护病房收治和机械通气的罕见原因。儿科患者的常见病因是吉兰 - 巴雷综合征以及各种中枢神经系统疾病,如脑炎、创伤性脑损伤和药物。颈髓的任何损伤或疾病也可导致呼吸麻痹,引起呼吸衰竭。在此,我们报告两例因第一和第二颈椎骨折节段的压迫作用导致混合性脑瘫合并颈髓病的病例。两例均表现为Ⅱ型呼吸衰竭。