膈肌麻痹

应特别警惕在疾病早期出现的膈肌麻痹。

Special attention should be paid to diaphragmatic paralysis in early phase of the disease .

结果：全组手术死亡2例（死亡率6.9%），术后低心排血量6例，肺动脉高压危象1例，肺部感染5例，膈肌麻痹1例。

In the period of perioperative low cardiac output occurred in 6 patients , pulmonary hypertension crisis in 1 , pulmonary infection in 5 patients and diaphragmatic paralysis in 1 patient .

心内直视术后膈肌麻痹原因分析

Reason analysis of diaphragm paralysis after open-heart surgery with cardiopulmonary bypass

导致无痛性双侧膈肌麻痹的双侧孤立膈神经病变

Bilateral isolated phrenic neuropathy causing painless bilateral diaphragmatic paralysis

结论：膈肌麻痹与术中心包内放置冰泥，导致膈神经冻伤有关。

Conclusion : Diaphragm paralysis is associated with phrenic nerve cold damage resulting from the ice / slush in the pericardium .

结果：膈肌麻痹发生率为11.1%（13/117），均为左侧膈肌麻痹，病人年龄为16～54岁。

Results : The incidence of diaphragm paralysis was 11.1 % ( 13 / 117 ) . All patients with diaphragm paralysis were left-sided , 16 ~ 54 years old .

结果所有病例术后无呼吸功能障碍，胸部X线片中均出现不同程度的术侧膈肌麻痹和抬高（高1.0～1.5个肋间）。

Results Although no patient experienced respiratory problems following the surgery , all of the cases showed varying degrees of diaphragmatic paralysis and elevation ( for 1.0-1.5 intercostal spaces ) at the operated side upon chest X-ray examinations .

B组9例术后膈神经修复侧膈肌均麻痹不动，肺活量及最大呼吸容量为术前的72%～84%及76%～84%；

And in group B , ipsilateral diaphragm paralysis in 9 cases after surgery , whose vital capacity and forced vital capacity had decreased to 72 % - 84 % , 76 % - 84 % of that before the surgery respectively ;

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