Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.
Korean J Anesthesiol. 2010 Jul;59(1):45-8. doi: 10.4097/kjae.2010.59.1.45. Epub 2010 Jul 21.
There are many causes of prolonged postoperative muscle weakness, including drugs, residual anesthetics, cerebrovascular events, electrolyte imbalance, hypothermia, and neuromuscular disease. Neuromuscular diseases are relatively rare, with the most common being myasthenia gravis and Lambert-Eaton myasthenic syndrome (LEMS). We report an unusual case in which a patient who was given a muscle relaxant during mediastinoscopy developed postoperative muscle weakness that was ultimately diagnosed as secondary to LEMS.
术后肌肉无力的原因很多，包括药物、残留的麻醉剂、脑血管事件、电解质失衡、低体温和神经肌肉疾病。神经肌肉疾病相对少见，最常见的是重症肌无力和 Lambert-Eaton 肌无力综合征（LEMS）。我们报告了一例不常见的病例，患者在纵隔镜检查期间使用了肌肉松弛剂，随后出现术后肌肉无力，最终被诊断为继发于 LEMS。
