Wright C D, Williams J G, Ogilvie C M, Donnelly R J
J Thorac Cardiovasc Surg. 1985 Aug;90(2):195-8.
Seven adult patients with dyspnea resulting from nonmalignant unilateral diaphragmatic paralysis underwent plication of the affected hemidiaphragm. Preoperatively, the patients complained of exertional dyspnea and orthopnea and had a reduced arterial oxygen tension, total lung capacity, vital capacity, expiratory reserve volume, and functional residual capacity. Plication was performed by imbricating the diaphragm in layers through a thoracotomy. After plication there was a significant increase in arterial oxygen tension and all lung volumes except residual volume. The patients' symptoms were improved with plication and a significant decrease was recorded in breathlessness on a visual analogue scale. There were no postoperative complications and mean hospital stay was 12 days.
7例因非恶性单侧膈麻痹导致呼吸困难的成年患者接受了患侧半膈肌折叠术。术前，患者主诉劳力性呼吸困难和端坐呼吸，动脉血氧分压、肺总量、肺活量、呼气储备量和功能残气量均降低。通过开胸手术分层缝合膈肌来进行膈肌折叠术。折叠术后，动脉血氧分压以及除残气量外的所有肺容积均显著增加。患者的症状通过折叠术得到改善，视觉模拟量表上记录的呼吸急促程度显著降低。术后无并发症，平均住院时间为12天。
