Bordoni Bruno, Kotha Rohini, Escher Allan R
Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA.
Anesthesiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, USA.
Cureus. 2024 Jan 29;16(1):e53143. doi: 10.7759/cureus.53143. eCollection 2024 Jan.
There can be many reasons that damage the function of the diaphragm, either transiently or permanently, involving one hemilate or both muscle portions. The diaphragm is associated only with breathing, but many other functions are related to it. The patient is not always aware of the presence of diaphragmatic dysfunction, and it is not always immediate to identify non-respiratory diaphragmatic symptoms. Pseudoanginal pain, night sweats, difficulty memorizing, or muscular and visceral problems of the pelvic floor are just some of the disorders linked to reduced diaphragmatic contractility. A decline in respiratory contractile force can be the basis for further pathological conditions that can increase the rate of mortality and morbidity. The article reviews the possible symptoms that may be presented by the patient, which are not necessarily related to lung function.
导致膈肌功能受损的原因有很多，无论是暂时的还是永久性的，涉及一侧半膈肌或双侧肌肉部分。膈肌仅与呼吸相关，但还有许多其他功能与之相关。患者并不总是能意识到膈肌功能障碍的存在，而且识别非呼吸性膈肌症状也并非总是立竿见影。假性心绞痛、盗汗、记忆困难或盆底肌肉和内脏问题只是与膈肌收缩力降低相关的部分病症。呼吸收缩力下降可能是导致更多病理状况的基础，这些病理状况会增加死亡率和发病率。本文综述了患者可能出现的、不一定与肺功能相关的症状。
