Pandit Lekha, Agrawal Amit
Department of Neurology, KS Hedge Medical Academy, Deralakatte, Mangalore 575108, Karnataka, India.
Clin Neurol Neurosurg. 2006 Oct;108(7):621-7. doi: 10.1016/j.clineuro.2006.04.003. Epub 2006 May 30.
Neuromuscular disorders in the background of critical illness are under diagnosed. Standardized screening for weakness in the intensive care unit (ICU) setting is uncommon and persistent weakness as a sequel of critical illness is usually not recognized by physicians in the ICU for whom survival from acute illness is the primary outcome. The spectrum of illness ranges from isolated nerve entrapment with focal pain or weakness, to disuse muscle atrophy with mild weakness, and to severe myopathy or neuropathy with associated severe, prolonged weakness. This update focuses on neuromuscular disorders occurring in the critical care set up associated with diffuse and severe weakness.
危重症背景下的神经肌肉疾病常未得到诊断。在重症监护病房（ICU）环境中，针对肌无力的标准化筛查并不常见，而作为危重症后遗症的持续性肌无力通常未被ICU医生所认识，因为对他们而言，急性疾病存活是主要结果。疾病谱范围从伴有局部疼痛或肌无力的孤立性神经卡压，到伴有轻度肌无力的废用性肌肉萎缩，再到伴有严重、长期肌无力的严重肌病或神经病。本综述聚焦于重症监护环境中发生的、伴有弥漫性和严重肌无力的神经肌肉疾病。
