The role of functional tests in the diagnosis of paresis of the diaphragm

Abstract

The article presents a clinical case of diaphragm dysfunction caused by damage to the diaphragmatic nerve in a 35-year-old patient after a war wound to the chest. Imaging methods coupled with electromyography make it possible to diagnose this disease and its cause, while lung function tests make it possible to clarify pulmonary disorders due to diaphragm dysfunction. Тhere is a restrictive type of ventilation disorders due to limited mobility of the chest in particular, as well as gas exchange disorders due to hypoventilation in the basal parts of the lungs in the patient under discussion. These changes determine the strategy of long-term clinical follow-up of such patients, the need to involve pharmacotherapy and rehabilitation programs. Given the urgency of this problem, the data obtained broaden our understanding of the problem and require the creation of algorithms for the examination of patients who have received a chest wound, taking into account ventilation and diff usion capacity abnormalities, the need for clinical follow-up and the creation of medical rehabilitation programs.