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双侧膈神经刺激对四肢瘫痪儿童的持续呼吸支持

Continuous respiratory support in quadriplegic children by bilateral phrenic nerve stimulation.

作者信息

Garrido H, Mazaira J, Gutierrez P, Gonzalez E, Rivas J, Madrazo J

机构信息

Departamento de Cirugia de la Facultad de Medicina de Cadiz, Spain.

出版信息

Thorax. 1987 Aug;42(8):573-7. doi: 10.1136/thx.42.8.573.

DOI:10.1136/thx.42.8.573
PMID:3499003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC460854/
Abstract

Three children, aged 6-10 years, in whom cervical cord injury at the C1-C2 level resulted in apnoea had bilateral implantation of diaphragm pacemakers. With periods of gradual conditioning of the diaphragm muscle to low frequency stimulation and slow respiratory rates they adapted to continuous ventilatory support by simultaneous stimulation of both hemidiaphragms without evidence of fatigue, so far for periods of 23-47 months.

摘要

三名6至10岁的儿童,其C1 - C2水平的颈髓损伤导致呼吸暂停,接受了双侧膈神经起搏器植入。经过一段时间将膈肌逐渐调节至低频刺激和缓慢呼吸频率后,他们通过同时刺激双侧半膈肌适应了持续通气支持,且未出现疲劳迹象,迄今为止已维持了23至47个月。

相似文献

1
Continuous respiratory support in quadriplegic children by bilateral phrenic nerve stimulation.双侧膈神经刺激对四肢瘫痪儿童的持续呼吸支持
Thorax. 1987 Aug;42(8):573-7. doi: 10.1136/thx.42.8.573.
2
Ventilatory support by pacing of the conditioned diaphragm in quadriplegia.四肢瘫痪患者中通过刺激条件化膈肌进行通气支持。
N Engl J Med. 1984 May 3;310(18):1150-5. doi: 10.1056/NEJM198405033101804.
3
Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing.
Surg Clin North Am. 1980 Oct;60(5):1055-78. doi: 10.1016/s0039-6109(16)42233-4.
4
Permanent artificial respiration by diaphragm pacemaker in tetraplegic children.膈肌起搏器用于四肢瘫痪儿童的永久性人工呼吸。
Paraplegia. 1986 Oct;24(5):276-81. doi: 10.1038/sc.1986.38.
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Phrenic nerve pacing via intramuscular diaphragm electrodes in tetraplegic subjects.通过膈肌肌内电极对四肢瘫痪患者进行膈神经起搏。
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Long-term follow-up of pacing of the conditioned diaphragm in quadriplegia.四肢瘫痪患者条件性膈肌起搏的长期随访
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Phrenic nerve stimulation in quadriplegia.四肢瘫痪中的膈神经刺激
Lancet. 1990 Aug 18;336(8712):446-7.
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[Phrenic stimulation in C1-C2 tetraplegia. Apropos of a case].[C1-C2 四肢瘫中的膈神经刺激。关于一例病例]
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[Diaphragm pacing for the ventilatory support of the quadriplegic patients with respiratory paralysis].
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Long-term ventilatory support by diaphragm pacing in quadriplegia.四肢瘫痪患者膈肌起搏的长期通气支持
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引用本文的文献

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Childs Nerv Syst. 2008 Nov;24(11):1341-4. doi: 10.1007/s00381-008-0650-4. Epub 2008 Jun 7.
2
Transdiaphragmatic pressure in quadriplegic individuals ventilated by diaphragmatic pacemaker.膈肌起搏器通气的四肢瘫痪患者的跨膈压
Thorax. 1996 Apr;51(4):420-3. doi: 10.1136/thx.51.4.420.
3
Diaphragm pacing.膈肌起搏
Thorax. 1988 Mar;43(3):161-2. doi: 10.1136/thx.43.3.161.
4
Central hypoventilation in a seven year old child following pertussis treated with negative pressure ventilation.一名七岁儿童患百日咳后出现中枢性通气不足,接受负压通气治疗。
Postgrad Med J. 1989 Oct;65(768):768-70. doi: 10.1136/pgmj.65.768.768.
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Diaphragmatic weakness and paralysis.膈肌无力与麻痹。
Lung. 1989;167(6):323-41. doi: 10.1007/BF02714961.

本文引用的文献

1
Evaluation of electrical parameters for diaphragm pacing: an experimental study.用于膈神经起搏的电参数评估:一项实验研究。
J Surg Res. 1981 Feb;30(2):142-53. doi: 10.1016/0022-4804(81)90006-8.
2
Electrophysiological evaluation of phrenic nerve function in candidates for diaphragm pacing.膈肌起搏候选人膈神经功能的电生理评估
J Neurosurg. 1980 Sep;53(3):345-54. doi: 10.3171/jns.1980.53.3.0345.
3
Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing.
Surg Clin North Am. 1980 Oct;60(5):1055-78. doi: 10.1016/s0039-6109(16)42233-4.
4
Ventilatory support by pacing of the conditioned diaphragm in quadriplegia.四肢瘫痪患者中通过刺激条件化膈肌进行通气支持。
N Engl J Med. 1984 May 3;310(18):1150-5. doi: 10.1056/NEJM198405033101804.
5
Total ventilatory support in a quadriplegic patient with radiofrequency electrophrenic respiration.一名四肢瘫痪患者采用射频膈神经呼吸的全通气支持。
N Engl J Med. 1972 Mar 9;286(10):513-6. doi: 10.1056/NEJM197203092861004.
6
Phrenic nerve conduction in man.人类膈神经传导
J Neurol Neurosurg Psychiatry. 1967 Oct;30(5):420-6. doi: 10.1136/jnnp.30.5.420.
7
Diaphragmatic pacing in infants: techniques and results.婴儿膈神经起搏:技术与结果
Ann Thorac Surg. 1985 Oct;40(4):323-9. doi: 10.1016/s0003-4975(10)60061-6.
8
Pacing the diaphragm in infants.婴儿膈肌起搏
Ann Thorac Surg. 1985 Oct;40(4):319-20. doi: 10.1016/s0003-4975(10)60059-8.
9
Continuous bilateral electrophrenic pacing in an infant with total diaphragmatic paralysis.一名患有完全性膈肌麻痹的婴儿的持续性双侧膈神经起搏。
J Pediatr. 1976 Jun;88(6):969-71. doi: 10.1016/s0022-3476(76)81051-7.
10
Diaphragm pacing: histopathological changes in the phrenic nerve following long-term electrical stimulation.膈肌起搏:长期电刺激后膈神经的组织病理学变化。
J Thorac Cardiovasc Surg. 1976 Oct;72(4):602-8.