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单侧膈肌麻痹:一例常被忽视诊断的病例报告

Unilateral Diaphragmatic Paralysis: A Case Report of an Often Overlooked Diagnosis.

作者信息

Castellano Brianna, Kumar Riya, Meka Minni, Honarparvar Taraneh, Biglione Alejandro

机构信息

Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

Internal Medicine, Wellington Regional Medical Center, Wellington, USA.

出版信息

Cureus. 2024 Jul 18;16(7):e64852. doi: 10.7759/cureus.64852. eCollection 2024 Jul.

Abstract

Unilateral diaphragmatic paralysis, resulting from nerve or muscle injuries, is an uncommon phenomenon often missed due to its asymptomatic nature. This condition can lead to decreased pulmonary function, particularly in patients with underlying comorbidities or cardiopulmonary issues. Identification and understanding of the underlying cause of the paralysis are essential for effective management and improved patient outcomes. Here, we present a case of a 49-year-old male who presented with left flank pain and complained of dyspnea on exertion. Further workup and a sniff test confirmed the diagnosis of left hemidiaphragm paralysis.

摘要

单侧膈肌麻痹是由神经或肌肉损伤引起的一种罕见现象,因其无症状往往容易被漏诊。这种情况会导致肺功能下降,尤其是在患有基础合并症或心肺问题的患者中。识别和了解麻痹的潜在原因对于有效管理和改善患者预后至关重要。在此,我们报告一例49岁男性患者,他因左侧胁腹疼痛就诊,并主诉运动时呼吸困难。进一步检查和吸气试验确诊为左侧膈肌麻痹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eff/11330305/9adba0e911b8/cureus-0016-00000064852-i01.jpg

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