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体外膈肌起搏(EDP)是通过体表电极发放电脉冲刺激膈神经使膈肌有规律收缩以达到治疗目的,主要用于慢性阻塞性肺病患者膈肌功能康复训练。用于治疗呃逆,文献报道不多。近来我院用EDP 治疗顽固性呃逆2例收到良好疗效。例1,男,58岁。因先天性多囊肾、高血压、尿毒症于1989年12月19日入院。血压160/100mmHg,心界向左下扩大,心率90次/分,律齐,两肺散在干湿罗音,双肾下缘在髂窝处扪及。血BuN62.4mg%,Cr13.3mg%,尿蛋白(?),WBC 0～2/HP,RBC(?)/HP。大便隐血十。入院后昼夜频繁呃逆,采用EDP 治疗,每日1
Extracorporeal diaphragmatic pacing (EDP) is a method of stimulating the phrenic nerve through the electrode of the body surface to cause the diaphragm to contract regularly for therapeutic purposes. It is mainly used for the rehabilitation of diaphragmatic muscle in patients with chronic obstructive pulmonary disease. For the treatment of hiccups, the literature reported little. Recently, our hospital with EDP treatment of intractable hiccup in 2 cases received a good effect. Example 1, male, 58 years old. Due to congenital polycystic kidney disease, hypertension, uremia in December 19, 1989 admission. Blood pressure 160 / 100mmHg, the heart to expand to the lower left, heart rate 90 beats / min, law Qi, lungs scattered in the wet and dry rales, lower limbs in the iliac fossa palpable. Blood BuN62.4mg%, Cr13.3mg%, urinary protein (?), WBC 0 ~ 2 / HP, RBC (?) / HP. Occult blood ten. Frequent hiccups day and night after admission, using EDP treatment, daily 1