体外膈肌起搏治疗先天性心脏病直视手术后膈肌麻痹2例病例报告  

Two Cases Reports of External Diaphragmatic Pacing in Diaphragmatic Paralysis in Infants with Congenital Heart Disease after Open Heart Surgery

作　　者：周婷[1] 雷宾峰[1] 曾晓春[1] 温建麟 ZHOU Ting;LEI Binfeng;ZENG Xiaochun;WEN Jianlin(The First Affiliated Hospital of Guangxi Medical University,Nanning 530000,China)

机构地区：[1]广西医科大学第一附属医院,广西南宁530000

出　　处：《中外医学研究》2020年第32期14-16,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2016年度广西壮族自治区中青年教师基础能力提升项目(KY2016YB081)。

摘　　要：目的:探讨体外膈肌起博(EDP)对小儿先天性心脏病(CHD)心脏直视术后膈肌麻痹(DP)的治疗效果。方法:2019年1-11月,广西医科大学第一附属医院心胸外科重症监护室采用体外膈肌起搏器完成了2例小儿CHD术后膈肌麻痹、不能撤离呼吸机的治疗。结果:两例患者行EDP后均能顺利撤离呼吸机,胸部X线检查膈肌位置正常。结论:先天性心脏病患儿心脏直视术后发生膈肌麻痹时,体外膈肌起搏能有效改善肺部症状,促进膈肌恢复,是一种安全有效的办法。Objective:To investigate the effect of external diaphragmatic pacing(EDP)in the treatment of diaphragmatic paralysis(DP)after open heart surgery in infants with congenital heart disease(CHD).Method:Both of the two children(6-month-male baby and 4-month female baby)with CHD suffered from DP after operations and could not withdraw ventilator were treated with EDP in Cardiothoracic Surgery Intensive Care Unit of the First Affiliated Hospital of Guangxi Medical University from January to November 2019.Result:Two babies successfully withdrew from the ventilators by the treatment of EDP.The X-ray showed that abnormal diaphragmatic position became normal.Conclusion:EDP could ease the pulmonary symptoms and promote recovery of diaphragm motion in babies suffered from DP with CHD after surgery.And EDP is effective and safe.

关 键 词：先天性心脏病 膈肌麻痹 体外膈肌起搏 

分 类 号：R654.2[医药卫生—外科学]