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重度脊柱后凸侧弯患者的意外长寿

Unexpected longevity in patients with severe kyphoscoliosis.

作者信息

Rom W N, Miller A

出版信息

Thorax. 1978 Feb;33(1):106-10. doi: 10.1136/thx.33.1.106.

Abstract

The threat of premature death in the fourth or fifth decades of life from cardiorespiratory failure in kyphoscoliosis is well known. Ten patients with severe kyphoscoliosis (curves greater than 100 degrees), who had survived into their seventh decade free of cardiorespiratory failure, were encountered over a four-year period. Pulmonary function studies on five patients showed impaired chest bellows function. Four patients died of acute respiratory failure at ages 65, 73, 79, and 85. These patients illustrate that severe deformity is not incompatible with a long and active life.

摘要

脊柱后凸侧弯患者在四五十岁时因心肺功能衰竭而过早死亡的威胁是众所周知的。在四年时间里,我们遇到了10例严重脊柱后凸侧弯(弯曲度大于100度)患者,他们活到了七十多岁且没有出现心肺功能衰竭。对5例患者进行的肺功能研究显示胸壁呼吸功能受损。4例患者分别在65岁、73岁、79岁和85岁时死于急性呼吸衰竭。这些患者表明严重畸形并不妨碍长寿和积极的生活。

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本文引用的文献

1
Hypoxia and Thoracic Scoliosis.缺氧与胸椎脊柱侧弯
Br Med J. 1960 Nov 19;2(5211):1486-9. doi: 10.1136/bmj.2.5211.1486.
3
REGIONAL LUNG FUNCTION IN KYPHOSCOLIOSIS.脊柱后凸畸形患者的局部肺功能
Thorax. 1965 Mar;20(2):175-81. doi: 10.1136/thx.20.2.175.
5
Cardiorespiratory failure in kyphoscoliosis.脊柱后凸侧弯中的心肺衰竭
Medicine (Baltimore). 1959 Sep;38:263-317. doi: 10.1097/00005792-195909000-00004.
7
Pulmonocardiac failure associated with deformity of the chest.伴有胸廓畸形的肺心病
Lancet. 1959 Feb 28;1(7070):449-50. doi: 10.1016/s0140-6736(59)92263-9.
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Heart failure of the hunchback.
Q J Med. 1958 Apr;27(106):155-71.
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Fatal cardiac failure in persons with thoracic deformities.胸廓畸形患者的致命性心力衰竭。
AMA Arch Intern Med. 1954 May;93(5):687-97. doi: 10.1001/archinte.1954.00240290045005.
10

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