Adams J A, Zabaleta I A, Sackner M A
Mount Sinai Medical Center, Division of Neonatology, Miami Beach, FL 33140, USA.
Pediatr Pulmonol. 1995 May;19(5):312-6. doi: 10.1002/ppul.1950190511.
Abnormalities of respiratory control, especially apnea, have been reported previously in infants with respiratory syncytial virus (RSV) infections. This is the first report of yet another abnormality of respiratory control, diaphragmatic flutter (DF), in infants with RSV infection. The presentation of these infants did not differ from the usual clinical presentation of RSV infection. While being monitored with respiratory inductive plethysmography for occurrences of apnea known to be common in RSV infection, DF was detected. This abnormality consisted of high frequency, diaphragmatic contractions which were intermittent in nature. They lasted no more than 4 days and were not associated with change in arterial oxygen saturation or heart rate. These infants were discharged free of DF and no further episodes have been observed over a 12-month period.
先前已有报道称，呼吸道合胞病毒（RSV）感染的婴儿存在呼吸控制异常，尤其是呼吸暂停。本文首次报道了RSV感染婴儿出现的另一种呼吸控制异常——膈肌扑动（DF）。这些婴儿的表现与RSV感染的常见临床表现并无差异。在用呼吸感应体积描记法监测RSV感染中常见的呼吸暂停时，检测到了DF。这种异常表现为高频、间歇性的膈肌收缩。它们持续不超过4天，且与动脉血氧饱和度或心率变化无关。这些婴儿出院时已无DF，在12个月的时间里未观察到进一步发作。
