Broggi G, Franzini A, Borroni V
Acta Neurochir (Wien). 1980;51(3-4):273-8. doi: 10.1007/BF01406754.
Phrenic nerve pacing was performed in a patient with tetraplegia and complete respiratory insufficiency soon after cervical decompressive laminectomy for spondylotic myelopathy. The electrophrenic stimulation, in spite of being performed only unilaterally, gave respiratory autonomy to the patient, who was then no longer dependent on mechanical ventilation. This allowed him to move freely out of bed and have intensive motor rehabilitation, which in the end resulted in a satisfactory recovery. The stimulator was removed when no longer needed. The technique, the physiological parameters, and the indications for diaphragm pacing are discussed.
在一名因脊髓型颈椎病接受颈椎减压椎板切除术后不久出现四肢瘫痪和完全呼吸功能不全的患者身上进行了膈神经起搏。尽管仅进行了单侧电膈刺激，但患者获得了呼吸自主性，不再依赖机械通气。这使他能够自由下床并进行强化运动康复，最终取得了满意的恢复效果。当不再需要时，移除了刺激器。本文讨论了膈神经起搏的技术、生理参数及适应证。
