Tennilä A, Salmi T, Pettilä V, Roine R O, Varpula T, Takkunen O
Department of Anaesthesia and Intensive Care, Helsinki University Hospital, Finland.
Intensive Care Med. 2000 Sep;26(9):1360-3. doi: 10.1007/s001340000586.
To evaluate with electromyography the incidence and the time of appearance of neuromuscular abnormality in patients with systemic inflammatory response syndrome (SIRS) and/or sepsis.
Follow-up study.
Intensive care unit of Helsinki University Hospital, Finland.
Nine mechanically ventilated patients with SIRS and/or sepsis.
Electromyography and conduction velocity measurements on the 2nd-5th day after admission to the intensive care unit.
In all nine patients electromyography revealed signs of neuromuscular abnormality. The means of compound muscle action potential amplitudes of the median and ulnar nerves were decreased. Fibrillation was observed in four patients out of nine.
Because neuromuscular abnormalities seem to develop earlier than previously reported, electroneuromyography should be used more frequently as a diagnostic test.
通过肌电图评估全身炎症反应综合征（SIRS）和/或脓毒症患者神经肌肉异常的发生率及出现时间。
随访研究。
芬兰赫尔辛基大学医院重症监护病房。
9例机械通气的SIRS和/或脓毒症患者。
在入住重症监护病房后的第2至5天进行肌电图和传导速度测量。
所有9例患者的肌电图均显示神经肌肉异常迹象。正中神经和尺神经的复合肌肉动作电位振幅均值降低。9例患者中有4例观察到纤颤。
由于神经肌肉异常似乎比先前报道的出现更早，因此应更频繁地使用神经肌电图作为诊断测试。
