危重疾病中的神经肌肉紊乱。

Bailliere's clinical neurology Pub Date : 1996-10-01
D W Zochodne, C F Bolton
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引用次数: 0

摘要

神经肌肉疾病是重症监护病房长期发病的重要原因。神经科医生在重症监护室面临的特殊疾病可能在入院前就已经存在,或者作为住院期间的次要并发症而发展。床边神经学检查,然后是电生理测试,包括呼吸系统测试,对于提供神经肌肉诊断至关重要。临床医生在该单位面临的神经肌肉疾病包括运动神经元疾病、急性多神经病变(包括急性炎症性脱髓鞘多神经病变(格林-巴勒综合征)和危重症多神经病变、神经肌肉传递障碍(包括重症肌无力)和特异性肌病。本章回顾鉴别诊断和独特的特征的神经肌肉条件,可能会使危重疾病和入院的重症监护病房。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuromuscular disorders in critical illness.

Neuromuscular disorders are important causes of prolonged morbidity in intensive care unit. Specific disorders facing the neurologist in the intensive care unit may have been present before admission to the unit or develop as a secondary complication of their stay. A bedside neurological examination, followed by electrophysiological testing, including testing of the respiratory system, is crucial in providing the neuromuscular diagnosis. Among the neuromuscular disorders that confront the clinician in the unit are motor neuron disease, acute polyneuropathies including acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome) and critical illness polyneuropathy, neuromuscular transmission disorders including myasthenia gravis, and specific myopathies. This chapter reviews the differential diagnosis and the unique features of neuromuscular conditions that may complicate critical illness and admission to the intensive care unit.

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