本月病例：重症肌无力在急诊室以急性呼吸衰竭为表现的不寻常病例。
Case of the month: Unusual presentation of myasthenia gravis with acute respiratory failure in the emergency room.
作者信息
Vaidya H
机构信息
Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
出版信息
Emerg Med J. 2006 May;23(5):410-3. doi: 10.1136/emj.2005.030429.
Abstract
A 21 year old woman with no past medical history presented to the emergency room (ER) with signs and symptoms of sepsis and subsequently went into acute respiratory failure. She was found to have myasthenia gravis which was exacerbated by the infection. This report highlights the need to consider myasthenia gravis in the differential diagnosis of an otherwise unexplained respiratory failure in the critical care setting.
摘要
一名21岁无既往病史的女性因败血症的体征和症状被送往急诊室，随后出现急性呼吸衰竭。她被诊断出患有重症肌无力，感染使其病情加重。本报告强调在重症监护环境中，对于原因不明的呼吸衰竭进行鉴别诊断时，需要考虑重症肌无力。
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