膈肌折叠在先天性心脏病术后膈肌麻痹中的应用  

Diaphragm plication in the treatment of diaphragm paralysis in children after heart surgery

作　　者：李胜利[1] 王旭[1] 贺彦[1] 刘迎龙[1] 李守军[1] 闫军[1] 

机构地区：[1]中国医学科学院阜外心血管病医院小儿心脏中心,北京市100037

出　　处：《心血管康复医学杂志》2009年第2期160-161,163,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:总结膈肌折叠在先心病术后膈肌麻痹患儿中应用的临床经验,评价其有效性。方法:2007年6月至2008年6月,8例先心病患儿发生膈肌麻痹,不能脱离呼吸机辅助或是脱机后有严重呼吸困难,行膈肌折叠术。结果:经膈肌折叠后,所有患儿均顺利脱离呼吸机辅助,治愈出院。结论:6个月的先心病患儿术后发生膈肌麻痹时,常常难以顺利脱离呼吸机;膈肌折叠是非常安全、简便的治疗手段。Objective： To evaluate the diaphragm plication in the treatment of diaphragm paralysis in children after heart surgery. Methods： From June 2006 to June 2008, 8 cases of diaphragm paralysis after heart surgery were treated by diaphragm plication. Results： The diaphragm plication was applied to these infants at 17 to 30 days after open heart surgery （average 24 days）. No case died in this group. All infants were recovered. Conclusion.. It is necessary to apply diaphragm plication in young children less than 6 months if there is no sign of recovery for 3 to 4 weeks. Diaphragm plication is a safe, effective method to treat the diaphragm paralysis.

关 键 词：心脏缺损 先天性 呼吸麻痹 胸外科手术 

分 类 号：R541.1[医药卫生—心血管疾病]