Rook James, Rivera Michelle L, Stewart Gail M
Department of Anesthesiology, Loma Linda University Medical Center, Loma Linda, CA, USA.
Pediatr Emerg Care. 2010 May;26(5):374-5. doi: 10.1097/PEC.0b013e3181db236f.
Myasthenia gravis is a rare, chronic, autoimmune disorder characterized by postsynaptic dysfunction at the neuromuscular junction. The disease affects more females than males. We describe the case of a 17-year-old female adolescent with recurrent episodes of dysarthria and dysphagia and a history of aspiration pneumonia. A bedside edrophonium (Tensilon) test in our emergency department confirmed the diagnosis of myasthenia gravis.
重症肌无力是一种罕见的慢性自身免疫性疾病,其特征为神经肌肉接头处的突触后功能障碍。该疾病影响女性多于男性。我们描述了一名17岁女性青少年的病例,她反复出现构音障碍和吞咽困难,并曾患吸入性肺炎。在我们急诊科进行的床边依酚氯铵(腾喜龙)试验确诊了重症肌无力。