Cahill J L, Okamoto G A, Higgins T, Davis A
J Pediatr Surg. 1983 Dec;18(6):851-4. doi: 10.1016/s0022-3468(83)80035-9.
We report a series of four spinal cord-injured children with ventilator dependency who were implanted with radiofrequency phrenic nerve pacers. At injury, their ages ranged from 6 to 9 years. Implantation occurred from 15 to 47 months following injury. The longest term of pacing has been 59 months. One patient, who was being paced full-time, died suddenly at 32 months of a viral myocarditis. Two patients underwent bipolar phrenic implantation in the neck, while two other patients underwent bilateral thoracotomy with monopolar electrode implantation in the mediastinum. There have been no complications related to pacer dysfunction in the postoperative course. Selective pacing schedules have been developed to minimize problems related with external mechanical ventilation. Radiofrequency phrenic nerve pacing is of value in the complete rehabilitative management of these severely disabled children.
我们报告了一系列4例依赖呼吸机的脊髓损伤儿童，他们接受了射频膈神经起搏器植入。受伤时，他们的年龄在6至9岁之间。植入手术在受伤后15至47个月进行。最长的起搏时间为59个月。1例长期接受起搏治疗的患者在32个月时因病毒性心肌炎突然死亡。2例患者在颈部进行了双极膈神经植入，另外2例患者接受了双侧开胸手术并在纵隔植入单极电极。术后过程中未出现与起搏器功能障碍相关的并发症。已制定选择性起搏方案，以尽量减少与外部机械通气相关的问题。射频膈神经起搏在这些严重残疾儿童的全面康复管理中具有重要价值。
