Young R F
Neurosurgery. 1978 Jan-Feb;2(1):43-6. doi: 10.1227/00006123-197801000-00009.
Most neurosurgical patients with permanent partial or complete respiratory insufficiency are managed with a mechanical ventilator and tracheostomy. This method presents many medical, technical, emotional, and social problems. A case is presented that illustrates the potential usefulness of electrical stimulation of the phrenic nerve ("diaphragm pacing") as an alternate method of therapy for respiratory insufficiency. This paper outlines the indications for, methods of, and problems with such a system and is intended to make its availability more widely appreciated among neurosurgeons.
大多数患有永久性部分或完全呼吸功能不全的神经外科患者通过机械通气和气管造口术进行治疗。这种方法存在许多医学、技术、情感和社会问题。本文介绍了一个病例，该病例说明了膈神经电刺激（“膈肌起搏”）作为呼吸功能不全替代治疗方法的潜在用途。本文概述了这种系统的适应症、方法和问题，旨在使神经外科医生更广泛地了解其可用性。
