METHOD FOR DIAGNOSING SEVERITY OF DIAPHRAGMATIC PARESIS IN INFANTS WITH PERINATAL INJURY OF CENTRAL NERVOUS SYSTEM

摘要

The method for diagnosing the severity of the diaphragmatic paresis in the infants with the perinatal injury of central nervous system comprises X-rayexamination of the thoracic organs, the assessment of the state of the diaphragm and the mediastinum. The position of the right diaphragmatic cupola, the coefficient of the convexity, and the shift of the mediastinum are estimated. When the right diaphragmatic cupola is located at the level of the ribs 5-6, the coefficient of the convexity amounts to 67-70 %, and the coefficient of the mediastinal shift is up to 33%, the mild diaphragmatic paresis is diagnosed. When the right diaphragmatic cupola is located at the level of the ribs 4-5, the coefficient of the convexity amounts to 71-75 %, and the coefficient of the mediastinal shift is 34-66%, the moderate diaphragmatic paresis is diagnosed. Finally, when the right diaphragmatic cupola is located at the level of the 4th rib and higher, the coefficient of the convexity amounts to 76-80 %, and the coefficient of the mediastinal shift exceeds 34-66%, the severe diaphragmatic paresis is diagnosed.