前言目的:探讨体外循环心内直视术后膈肌麻痹的原因和防治对策。方法:对117例心脏手术病人进行回顾性分析。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。小于16岁的无膈肌麻痹发生。膈肌麻痹多发生在手术时间长、阻断时间长、需多次灌注冷晶体液和多次心包内放置冰泥的病人。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。避免冰泥直接接触膈神经,可降低膈肌麻痹发生率
Objective:Tostudythereasonsofpostoperativediaphragmparalysisofopen-heartsurgery.Methods:117patientsundergoingopen-heartsurgeryweregivenaretrospectiveanalysis.Results:Theincidenceofdiaphragmparalysiswas11.1%（13/117）.Allpatientswithdiaphragmparalysiswereleft-sided,16～54yearsold.Therewasnopatienthavingdiaphragmparalysisunder16yearsofage.Phrenicnervedamagewasmorefrequentwiththepatientsundergoinglongtimeoperation,longtimeaorticcrossclamping,re...
