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超声评估颈脊髓损伤患者膈肌功能:病例报告。

Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury: case report.

机构信息

General University Hospital of Albacete, Anaesthesiology and Resuscitation Service, Albacete, Spain.

General Hospital of Albacete, Anaesthesaia, Reanimation and Pain Treatment, Albacete, Spain.

出版信息

Braz J Anesthesiol. 2024 Jan-Feb;74(1):744348. doi: 10.1016/j.bjane.2021.12.005. Epub 2021 Dec 25.

Abstract

Ultrasound evaluation of diaphragm function allows the detection of diaphragm dysfunction and the adaptation of ventilatory support in patients admitted to intensive care units. The studied patient had a C3 spinal cord injury. Ultrasound evaluation of diaphragm mobility showed that the patient suffered diaphragm dysfunction. A tracheotomy was indicated, and early ventilatory support was initiated. Ultrasound evaluation of diaphragm function in patients with cervical spinal cord injury is a useful and simple technique. It provides fast and reliable data for the diagnosis of respiratory insufficiency of neuromuscular origin.

摘要

超声评估膈肌功能可发现膈肌功能障碍,并可调整入住重症监护病房患者的通气支持。该研究患者为 C3 脊髓损伤。超声评估膈肌活动度显示该患者患有膈肌功能障碍。因此,行气管切开术,并早期开始通气支持。超声评估颈脊髓损伤患者的膈肌功能是一种有用且简单的技术。它为诊断神经肌肉来源的呼吸功能不全提供了快速可靠的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a37b/10877324/e6c78037ff9e/gr1.jpg

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