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[危重病性多发性神经病和肌病。发病机制与诊断]

[Critical illness polyneuropathy and myopathy. Pathogenesis and diagnostic].

作者信息

Alb Markus, Hirner Stephanie, Luecke Thomas

机构信息

Klinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Mannheim, Germany.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Apr;42(4):250-8. doi: 10.1055/s-2007-980026.

Abstract

Since the first description of Bolton et al., critical illness polyneuropathy (CIP) and critical illness myopathy (CIM) are increasingly observed as a complication in intensive care patients. CIP and CIM commonly occur in patients with an ICU length of stay exceeding one week. Typically, these patients show weakness of the limbs and difficulties in weaning from the respirator. Neurological and electrophysiological examinations as well as muscle biopsies if myopathy is of concern may help to characterize and identify polyneuropathy and myopathy.

摘要

自博尔顿等人首次描述以来,危重病性多发性神经病(CIP)和危重病性肌病(CIM)作为重症监护患者的一种并发症越来越多地被观察到。CIP和CIM通常发生在入住重症监护病房(ICU)时间超过一周的患者中。典型地,这些患者表现出肢体无力以及脱机困难。如果怀疑有肌病,进行神经学和电生理学检查以及肌肉活检可能有助于明确和识别多发性神经病和肌病。

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