Yasuma F, Sakamoto M, Okada T, Abe K
First Department of Internal Medicine, Nagoya University School of Medicine, Nagoya, Japan.
Respiration. 1998;65(4):313-6. doi: 10.1159/000029284.
We had treated a 17-year-old girl with central alveolar hypoventilation with diaphragm pacing at home for the past 8 years. Nocturnal diaphragm pacing with an open tracheostomy was effective in maintaining an adequate ventilation after 4 months of undergoing training of the diaphragm on the pacemaker implantation. However, the diaphragm pacemaker failed to maintain it mostly in the presence of respiratory tract infection, when she was treated with intermittent positive-pressure ventilation. Pulse oximetry was used at home for monitoring the adequacy of respiratory support. We conclude that the respiratory assistance by the diaphragm pacemaker or the use of a mechanical ventilator as a backup was highly useful for the home care of a patient with central alveolar hypoventilation.
在过去8年里，我们一直在家里用膈肌起搏治疗一名患有中枢性肺泡低通气的17岁女孩。在植入起搏器后经过4个月的膈肌训练，夜间开放气管造口的膈肌起搏在维持充足通气方面是有效的。然而，当她接受间歇正压通气治疗时，在呼吸道感染的情况下，膈肌起搏器大多无法维持通气。在家中使用脉搏血氧饱和度仪监测呼吸支持的充足程度。我们得出结论，膈肌起搏器的呼吸辅助或使用机械通气作为备用手段对中枢性肺泡低通气患者的家庭护理非常有用。
