小儿肌无力综合征及肌痛的临床实践实例

O. Oshlyanska, A. Artsymovych, T. G. Nadtochiy
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引用次数: 0

摘要

本文介绍了儿童肌无力的主要原因的数据,并讨论了可能伴随肌无力的疾病的临床特征。重点放在鉴别诊断的可能性肌无力综合征的儿童通过使用各种检查方法。提出了肌无力的鉴别诊断搜索算法。通过临床实例论证了其在儿科实践中应用的可能性。尽管在这些病例中,疾病的发病有某些共同特征,但详细的检查可以区分先天性和后天的肌肉损伤原因,并将患者转介到适当的治疗。应该指出的是,肌肉无力是一个相当普遍的症状在儿童。更常见的是,它与肌肉本身的损伤无关。在所有年龄段的儿童中,造成慢性虚弱的原因差别很大。对于有肌肉无力临床症状的儿童,有必要进行彻底的检查,主要目的是排除各种严重疾病。这项研究是按照《赫尔辛基宣言》的原则进行的。获得患者的知情同意进行研究。作者未声明存在利益冲突。关键词:儿童,肌无力,鉴别诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Syndrome of muscle weakness and myalgia in pediatric practice on clinical examples
The article presents data on the main causes of muscle weakness in children and discusses the clinical features of diseases that may be accompanied by muscle weakness. Emphasis is placed on the possibilities of differential diagnosis of muscle weakness syndrome in children through the use of various methods of examination. The algorithm of differential diagnostic search at muscular weakness is offered. The possibility of its application in pediatric practice is demonstrated on clinical examples. Despite certain common features in the onset of the disease in the presented cases, a detailed examination makes it possible to distinguish between congenital and acquired causes of muscle damage and refer the patient for appropriate treatment. It should be noted that muscle weakness is a fairly common symptom in a child. More often it is not associated with damage to the muscles themselves. The causes of chronic weakness differ significantly in children of all ages. In a child with clinical signs of muscle weakness, it is necessary to conduct a thorough examination, aimed primarily at excluding various serious diseases. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors. Key words: children, muscle weakness, differential diagnosis.
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