Nasal Mask Bilevel Positive Airway Pressure Ventilation for Diaphragmatic Paralysis After Pediatric Open-Heart Surgery

Y. Tokuda; M. Matsumoto; T. Sugita; J. Nishizawa

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Nasal Mask Bilevel Positive Airway Pressure Ventilation for Diaphragmatic Paralysis After Pediatric Open-Heart Surgery

机译：小儿心脏直视手术后鼻罩双水平气道正压通气治疗Dia肌麻痹

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摘要

A 2-year-old boy underwent surgical repair of tetralogy of Fallot. Topical cooling of the heart with ice slush was used during the operation. Diaphragmatic paralysis occurred after the operation, inducing severe respiratory distress. To avoid repeated intubation and tracheostomy, the patient was placed on nasal mask bilevel positive airway pressure (BiPAP) ventilation. After ventilatory support with BiPAP for 40 days, the patient recovered spontaneously from the paralysis. No sedation was required during this time. This report illustrates the usefulness of BiPAP for a pediatric patient with diaphragmatic paralysis after cardiac surgery.

机译：一名2岁男孩接受了法洛四联症的外科手术修复。术中使用冰泥局部冷却心脏。术后发生肌麻痹，引起严重的呼吸窘迫。为避免重复插管和气管切开术，将患者置于鼻罩双水平气道正压通气（BiPAP）上。使用BiPAP进行通气支持40天后，患者从瘫痪中自然恢复。在此期间不需要镇静剂。该报告说明了BiPAP对于心脏手术后diaphragm肌麻痹的小儿患者的有用性。

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来源
《Pediatric Cardiology》 |2004年第5期|552-553|共2页
作者
Y. Tokuda; M. Matsumoto; T. Sugita; J. Nishizawa;
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作者单位

Department of Cardiovascular Surgery Tenri Hospital;

Department of Cardiovascular Surgery Tenri Hospital;

Department of Cardiovascular Surgery Tenri Hospital;

Department of Cardiovascular Surgery Tenri Hospital;

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原文格式 PDF
正文语种 eng
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关键词
Nasal mask bilevel positive airway pressure; Noninvasive positive-pressure ventilation; Postoperative diaphragmatic paralysis; Pediatric cardiac surgery;

机译：鼻罩双水平气道正压;无创正压通气;术后diaphragm肌麻痹;小儿心脏外科手术;

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专利

1. Nasal mask bilevel positive airway pressure ventilation for diaphragmatic paralysis after pediatric open-heart surgery. [J] . Tokuda Y, Matsumoto M, Sugita T, Pediatric cardiology . 2004,第5期

机译：小儿心脏直视手术后鼻罩双水平气道正压通气治疗diaphragm肌麻痹。
2. Bilateral diaphragmatic paralysis--a rare cause of acute respiratory failure managed with nasal mask bilevel positive airway pressure (BiPAP) ventilation [J] . CC Huang, MC Lin, ML Chuang, The European respiratory journal : . 1997,第8期

机译：双侧diaphragm肌麻痹-鼻罩双水平气道正压通气（BiPAP）通气治疗可导致急性呼吸衰竭
3. Bilateral diaphragmatic paralysis after aortic surgery with topical hypothermia: Ventilatory assistance by means of nasal mask bilevel positive pressure [J] . Yoshiyuki Tokuda, Masahiko Matsumoto, Takaaki Sugita, The journal of thoracic and cardiovascular surgery . 2003,第5期

机译：主动脉手术局部低温后双侧diaphragm肌麻痹：通过鼻罩双水平正压进行通气辅助
4. Analysis of heart rate and blood pressure variability during nasal continuous positive airway pressure therapy in patients with obstructive sleep apnea [C] . Glos, M., Romberg, . 1999

机译：鼻连续呼吸道正压通气治疗阻塞性睡眠呼吸暂停患者心率和血压变异性分析
5. Examination of a method for increasing adjustment to and compliance with nasal continuous positive airway pressure (CPAP) in persons with obstructive sleep apnea syndrome [D] . Johnson, Jack Allen, Jr. 2001

机译：检查一种增加对阻塞性睡眠呼吸暂停综合症患者的鼻持续气道正压通气（CPAP）的适应性和依从性的方法
6. Does Bilevel Positive Airway Pressure Improve Outcome of Acute Respiratory Failure after Open-heart Surgery? [O] . Ahmed Said Elgebaly 2017

机译：心脏直视手术后双水平气道正压会改善急性呼吸衰竭的结果吗？
7. Bilateral diaphragmatic paralysis after aortic surgery with topical hypothermia: Ventilatory assistance by means of nasal mask bilevel positive pressure [O] . Tokuda Yoshiyuki, Matsumoto Masahiko, Sugita Takaaki, 2003

机译：主动脉手术局部低温后双侧diaphragm肌麻痹：通过鼻罩双水平正压进行通气辅助

Nasal Mask Bilevel Positive Airway Pressure Ventilation for Diaphragmatic Paralysis After Pediatric Open-Heart Surgery

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