Marcazzò L, Zanardo V, Cavagna G, Temporin G F
Pediatr Med Chir. 1985 Jan-Feb;7(1):111-4.
The paralysis of the diaphragm in the newborn is a rare pathological event. The "paradoxical movement" of the affected emidiaphragm can sometimes determine a important respiratory insufficiency. Medical treatment involves supplying oxygen, CPAP by means of a nasal cannula or mechanical ventilation with PEEP. Surgical plication of the affected emidiaphragm is recommended when a regular diaphragmatic function is not restored at 5-6 weeks of age and in the presence of serious respiratory insufficiency. Three cases are reported in this article which needed different therapeutical approaches.
新生儿膈神经麻痹是一种罕见的病理情况。患侧半膈肌的“反常运动”有时会导致严重的呼吸功能不全。内科治疗包括吸氧、经鼻导管持续气道正压通气(CPAP)或采用呼气末正压通气(PEEP)的机械通气。若在5 - 6周龄时患侧膈肌功能仍未恢复正常且存在严重呼吸功能不全,则建议对患侧半膈肌进行手术折叠术。本文报告了三例需要不同治疗方法的病例。