胸壁呼吸動揺曲線からみた分娩外傷性横隔膜弛緩症の治療方針について

概要

論文の詳細を見る
Magnetometries of costal and abdominal wall movements during REM and NON-REM sleep were made in sixty normal children under two years of age to study the compensatoy costal respiration. It was confirmed that in the newborn infants their respirations are entirely abdominal in type and adult-type respiratory movements of rib cage and abdominal wall first develop at about four to five months of age. These physiological evidences imply that the newborn infant with unilateral phrenic nerve paralysis may need a respirator support for four to five months. However, such a long-term respirator care carries a considerable potential risk. The authors recommed a early operative plication of the paralytic diaphragm when nerve paralysis did not recover after a few weeks of respirator care.
1982-02-20