Yeaton H L, Mellish R W
J Pediatr Surg. 1983 Apr;18(2):158-9. doi: 10.1016/s0022-3468(83)80540-5.
Three cases of hernia repair and simultaneous resolution of prolonged neonatal apnea are reported. An association has been made between vagal overactivity and apnea. Protrusion of a large hernia at times of vagal stimulation is suggested as a possible mechanism resulting in sustained inhibition of the respiratory control center by increasing vagal afferent traffic to this center. Consideration should be given to repair of hernias in the premature infant with neonatal apnea rather than wait for resolution of the apneic episodes.
报告了3例疝气修补术及同时解决新生儿长期呼吸暂停的病例。已发现迷走神经活动过度与呼吸暂停之间存在关联。有人提出，在迷走神经受刺激时大疝气突出，可能是一种机制，通过增加传入该中枢的迷走神经冲动，导致呼吸控制中枢持续受到抑制。对于患有新生儿呼吸暂停的早产儿，应考虑进行疝气修补，而不是等待呼吸暂停发作自行缓解。
