Bolton C F
Department of Clinical Neurological Sciences, University of Western Ontario, London.
Can J Neurol Sci. 1994 May;21(2):S28-34.
Disorders of both the central and peripheral nervous systems are important causes of respiratory insufficiency. However, simple clinical observations and pulmonary function measurements may fail to identify the location and type of disorder. This can often be accomplished by the newly-developed technique of phrenic nerve conduction and needle electromyography of the diaphragm which delineate the various disturbances of central drive, axonal or demyelinating neuropathies of the phrenic nerves and certain myopathies. These studies have been preformed safely and with little discomfort on adults, children or infants, and in out-patient and general ward settings. We have found they are of particular value in the intensive care unit.
中枢神经系统和周围神经系统的疾病都是呼吸功能不全的重要原因。然而，单纯的临床观察和肺功能测量可能无法确定疾病的位置和类型。这通常可以通过新开发的膈神经传导和膈肌针极肌电图技术来实现，该技术可以描绘出中枢驱动的各种紊乱、膈神经的轴索性或脱髓鞘性神经病变以及某些肌病。这些研究已在成人、儿童或婴儿身上安全地进行，且几乎没有不适，无论是在门诊还是普通病房环境中。我们发现它们在重症监护病房中具有特别的价值。
