| 中文名稱 | 犬貓及馬匹的橫膈痲痺 |
| 英文名稱 | Diaphragmatic paralysis in dogs, cats, and horses |
| 建立日期 | 2007/11/01 |
| 更新日期 | 2007/11/01 |
| 中文描述 | 橫隔麻痺在呼氣時會出現強而有力的腹部收縮,而在吸氣時會隱隱約約出現腹部肌肉向內部運動的感覺.用X光或是超音波檢查是看不出橫隔膜的收縮的.在吸氣的時候前部的橫隔膜會有些許的異位可以觀察到.透過皮膚及外科手術對橫隔膜的刺激並不會造成橫隔的收縮.實驗室的研究指出半橫隔麻痺症狀為降低的呼吸體積,肺泡的換氣過低和因為血液中的二氧化碳過高所造成的呼吸酸中毒.而對稱性的橫隔麻痺在小馬身上會造成呼吸的困難並且對治療不會產生反應.這診斷已經被證實藉由測量胸腹壁的運動以及橫橫隔的壓力. |
| 英文描述 | In diaphragmatic paralysis there can be forceful abdominal contractions on expiration and paradoxical inward movements of the abdominal muscles on inspiration. Contraction of the diaphragm is not seen during fluoroscopy or ultrasonography. Paradoxical cranial displacement of the flaccid diaphragm might be seen during inspiration. Percutaneous stimulation of the phrenic nerves does not cause contractions of the diaphragm, nor does stimulation at surgery. Laboratory examination might show reduced inspiratory volume, alveolar hypoventilation, and respiratory acidosis with hypercarbia. Hemidiaphragmatic paralysis has been described. Bilateral diaphragmatic paralysis in a pony presented as respiratory distress unresponsive to treatment. The diagnosis was confirmed by measurement of thoracoabdominal movement and transdiaphragmatic pressure. |