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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.

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

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Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing.
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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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本文引用的文献

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.
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.

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