通气衰竭中的膈肌起搏

Diaphragm pacing in ventilatory failure.

作者信息

Lozewicz S, Potter D R, Costello J F, Moyle J B, Maccabe J J

出版信息

Br Med J (Clin Res Ed). 1981 Oct 17;283(6298):1015-6. doi: 10.1136/bmj.283.6298.1015.

DOI:10.1136/bmj.283.6298.1015

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1507294/

Abstract

Diaphragm pacing, which entails electrical stimulation to the phrenic nerve, is an effective means of managing patients with ventilatory insufficiency and intact lowermotor-neurone innervation of the diaphragm. The pacing apparatus is used to pace the right and left hemidiaphragms alternately to avoid fatigue, which may damage the muscle irreversibly. Among the important benefits of pacing in quadriplegics with paralysis or respiratory muscles are the social and psychological advantages of not being dependent on a mechanical ventilator.

摘要

膈神经起搏是指通过电刺激膈神经来管理通气功能不全且膈神经下运动神经元支配完整的患者的一种有效方法。起搏装置用于交替刺激左右半膈，以避免疲劳，因为疲劳可能会对肌肉造成不可逆的损伤。对于四肢瘫痪且呼吸肌麻痹的患者来说，起搏的重要益处之一在于其社会和心理优势，即无需依赖机械通气机。

相似文献

1

Diaphragm pacing in ventilatory failure.通气衰竭中的膈肌起搏

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引用本文的文献

1

Weaning patients from mechanical ventilation.使患者脱离机械通气。

Intensive Care Med. 1984;10(2):55-8. doi: 10.1007/BF00297558.

2

Diaphragm pacing.膈肌起搏

Thorax. 1988 Mar;43(3):161-2. doi: 10.1136/thx.43.3.161.

本文引用的文献

1

Evaluation of electrical parameters for diaphragm pacing: an experimental study.用于膈神经起搏的电参数评估：一项实验研究。

J Surg Res. 1981 Feb;30(2):142-53. doi: 10.1016/0022-4804(81)90006-8.

2

Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing.

Surg Clin North Am. 1980 Oct;60(5):1055-78. doi: 10.1016/s0039-6109(16)42233-4.

3

Radio-frequency electrophrenic respiration. Long-term application to a patient with primary hypoventilation.

JAMA. 1968 Mar 18;203(12):1033-7. doi: 10.1001/jama.203.12.1033.

4

Central hypoventilation; long-term ventilatory assistance by radiofrequency electrophrenic respiration.中枢性通气不足；通过射频膈神经呼吸进行长期通气支持。

Ann Surg. 1970 Oct;172(4):755-73. doi: 10.1097/00000658-197010000-00020.

5

Diaphragm pacing by radiofrequency transmission in the treatment of chronic ventilatory insufficiency. Present status.射频传输膈肌起搏治疗慢性通气功能不全。现状。

J Thorac Cardiovasc Surg. 1973 Oct;66(4):505-20.

6

Congenital central hypoventilation syndrome: a pathologic study of the neuromuscular system.先天性中枢性低通气综合征：神经肌肉系统的病理学研究

Neurology. 1978 Oct;28(10):1013-19. doi: 10.1212/wnl.28.10.1013.

7

Diaphragm pacing: present status.膈肌起搏：现状

Pacing Clin Electrophysiol. 1978 Jul;1(3):357-70. doi: 10.1111/j.1540-8159.1978.tb03491.x.

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