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一名患有先天性杆状体肌病和肥厚型心肌病的婴儿。

An infant with congenital nemaline myopathy and hypertrophic cardiomyopathy.

作者信息

Nakajima Mizue, Shima Yoshio, Kumasaka Sakae, Kuwabara Kentaro, Migita Makoto, Fukunaga Yoshitaka

机构信息

Department of Pediatrics, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.

出版信息

J Nippon Med Sch. 2008 Dec;75(6):350-3. doi: 10.1272/jnms.75.350.

Abstract

We describe an infant with nemaline myopathy accompanied by hypertrophic cardiomyopathy. The patient required long-term, intermittent positive-pressure ventilation after birth owing to muscle weakness, and cardiac failure developed during infancy. We diagnosed hypertrophic cardiomyopathy with outflow tract obstruction, and treated the heart failure with beta-adrenergic and angiotensin II receptor blockers. We discuss the prognosis of nemaline myopathy combined with hypertrophic cardiomyopathy.

摘要

我们描述了一名患有杆状体肌病并伴有肥厚型心肌病的婴儿。该患者出生后因肌肉无力需要长期间歇性正压通气,且在婴儿期出现心力衰竭。我们诊断为伴有流出道梗阻的肥厚型心肌病,并使用β-肾上腺素能受体阻滞剂和血管紧张素II受体阻滞剂治疗心力衰竭。我们讨论了杆状体肌病合并肥厚型心肌病的预后。

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