The assessment and management of the respiratory complications of pediatric neuromuscular diseases
The assessment and management of the respiratory complications of pediatric neuromuscular diseases
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DOI：
10.1177/000992280204100502
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发表时间：
2002-06-01
影响因子：
1.6
通讯作者：
Birnkrant, DJ
中科院分区：
文献类型：
--
作者：
Birnkrant, DJ
呼吸系统并发症是小儿神经肌肉疾病发病和死亡的主要原因。呼吸肌的虚弱导致浅呼吸和无效咳嗽，使患者容易发生肺不张、肺炎和由保留的呼吸道分泌物引起的气管阻塞。呼吸系统并发症风险的评估包括评估患者的病史和呼吸系统体格检查，并测量肺功能和气体交换。治疗方法包括辅助咳嗽和机械通气。这篇综述强调了使用非侵入性呼吸辅助设备来优化这些潜在致命疾病的持续时间和生活质量。
Respiratory complications are a major cause of morbidity and mortality in the pediatric neuromuscular diseases. Weakness of the muscles of respiration results in shallow breathing and ineffective cough, making patients vulnerable to atelectasis, pneumonia, and tracheal obstruction by retained respiratory tract secretions. Assessment of the risk of respiratory complications includes evaluating the patient's history and respiratory physical examination and measuring pulmonary function and gas exchange. Treatment options include methods of assisted cough and mechanical ventilation. This review emphasizes the use of noninvasive respiratory aids to optimize duration and quality of life in these potentially fatal diseases.