Goodman Brent P, Boon Andrea J
Department of Neurology, Mayo College of Medicine, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Phys Med Rehabil Clin N Am. 2008 Feb;19(1):97-110, vii. doi: 10.1016/j.pmr.2007.10.012.
Critical illness myopathy, neuropathy, and neuromyopathy are frequently encountered in the intensive care unit, particularly in the setting of sepsis and the systemic inflammatory response syndrome. A multidisciplinary approach is important to optimize management and minimize debility associated with these neuromuscular disorders. This article reviews the underlying pathophysiology, risk factors, clinical presentation, electrodiagnostic evaluation, management, and prognosis of these disorders.
危重病性肌病、神经病和神经肌肉病在重症监护病房中经常遇到,尤其是在脓毒症和全身炎症反应综合征的情况下。多学科方法对于优化管理以及将与这些神经肌肉疾病相关的虚弱程度降至最低很重要。本文综述了这些疾病的潜在病理生理学、危险因素、临床表现、电诊断评估、管理及预后。