Postoperative Phrenic Nerve Palsy in Patients with Open-Heart Surgery
作者： Omkar N. Markand , S.S. Moorthy , Yousuf Mahomed , Robert D. King , John W. Brown
DOI: 10.1016/S0003-4975(10)62524-6
关键词: Paralysis 、 Atelectasis 、 Paresis 、 Cardiotomy 、 Phrenic nerve 、 Anesthesia 、 Medicine 、 Diaphragmatic breathing 、 Complication 、 Surgery 、 Respiratory disease
摘要: We prospectively studied patients undergoing open-heart surgical procedures to evaluate the role of phrenic nerve palsy in causation high incidence pulmonary complications reported these patients. Although atelectasis, or infiltrates, both developed left lower lobe 98% (43 44) with without similar changes on right side, only 5 (11%) 44 had diaphragmatic dysfunction following operation. In 1, became inexcitable; 2 paresis hemidiaphragm, and hemidiaphragm. damage can occur during operations, a relatively low this complication does not support it as major cause postoperative complications.
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sci-hub.se 参考文章(12)
O. N. Markand, J. C. Kincaid, R. A. Pourmand, S. S. Moorthy, R. D. King, Y. Mahomed, J. W. Brown, Electrophysiologic evaluation of diaphragm by transcutaneous phrenic nerve stimulation. Neurology. ,vol. 34, pp. 604- 604 ,(1984) , 10.1212/WNL.34.5.604
Joseph D. Marco, John W. Hahn, Hendrick B. Barner, Topical Cardiac Hypothermia and Phrenic Nerve Injury The Annals of Thoracic Surgery. ,vol. 23, pp. 235- 237 ,(1977) , 10.1016/S0003-4975(10)64115-X
James T. Good, John F. Woh, James T. Anderson, Robert B. Dreisin, Thomas L. Petty, The Routine Use of Positive End-Expiratory Pressure after Open Heart Surgery Chest. ,vol. 76, pp. 397- 400 ,(1979) , 10.1378/CHEST.76.4.397
Richard J. Lederman, Anthony C. Breuer, Maurice R. Hanson, Anthony J. Furlan, Floyd D. Loop, Delos M. Cosgrove, F. George Estafanous, Richard L. Greenstreet, Peripheral nervous system complications of coronary artery bypass graft surgery Annals of Neurology. ,vol. 12, pp. 297- 301 ,(1982) , 10.1002/ANA.410120315
Richard K. Shaw, William W. L. Glenn, James F. Hogan, Mildred L. Phelps, Electrophysiological evaluation of phrenic nerve function in candidates for diaphragm pacing Journal of Neurosurgery. ,vol. 53, pp. 345- 354 ,(1980) , 10.3171/JNS.1980.53.3.0345
Leigh I.G. Iverson, Arun Mittal, David J. Dugan, Paul C. Samson, Injuries to the phrenic nerve resulting in diaphragmatic paralysis with special reference to stretch trauma American Journal of Surgery. ,vol. 132, pp. 263- 269 ,(1976) , 10.1016/0002-9610(76)90058-1
J J Benjamin, P N Cascade, M Rubenfire, W Wajszczuk, N Z Kerin, Left lower lobe atelectasis and consolidation following cardiac surgery: the effect of topical cooling on the phrenic nerve. Radiology. ,vol. 142, pp. 11- 14 ,(1982) , 10.1148/RADIOLOGY.142.1.6975951
A. Moosa, Phrenic nerve conduction in children. Developmental Medicine & Child Neurology. ,vol. 23, pp. 434- 448 ,(2008) , 10.1111/J.1469-8749.1981.TB02016.X
J N Davis, Phrenic nerve conduction in man. Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 30, pp. 420- 426 ,(1967) , 10.1136/JNNP.30.5.420
J. W. STEPHENS, Neurological sequelae of congenital heart surgery. JAMA Neurology. ,vol. 7, pp. 450- 459 ,(1962) , 10.1001/ARCHNEUR.1962.04210050086010