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Dysfunction of the diaphragm

[Lecture. Clinical decisions support]
Oleg Uryasev; Sergey Ivanovich Glotov; Ponomareva Irina Borisovna; Elena Viktorovna Almazova; Zhukova Lidiya A.; Elena Anatolyevna Alekseeva;

Diaphragm dysfunction refers to the rare causes of respiratory disorders, the severity of which ranges from moderate, in cases of its weakness, to severe – with paralysis of the diaphragm. Difficulties in diagnosing of diaphragm dysfunction are determined by a variety of etiological factors, unusual clinical manifestations – from subclinical respiratory disorders to severe respiratory failure, frequent prevalence of general symptoms – drowsiness, irritability, fatigue. With paralysis of the diaphragm, there are pronounced thoracoabdominal disorders. Physical and instrumental methods of diagnostics are considered in detail. Both conservative and surgical methods (plication of the diaphragm) are used in the treatment.


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Keywords: diaphragm dysfunction, shortness of breath, bilateral diaphragm paralysis, plication of the diaphragm

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy