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危重病性肌病

Critical illness myopathy.

作者信息

Meherali Salima Moez, Parpio Yasmin, Ali Tazeen Saeed

机构信息

School of Nursing, Department of Community Health Sciences, The Aga Khan University, Karachi.

出版信息

J Pak Med Assoc. 2010 Nov;60(11):961-3.

Abstract

Critical illness myopathy (CIM) is a syndrome of widespread muscle weakness and neurological dysfunction which can develop in critically ill patients receiving intensive care. CIM are often distinguished largely on the basis of specialized electrophysiologic testing or muscle and nerve biopsy and its causes are unknown, though they are thought to be a possible neurological manifestation of systemic inflammatory response syndrome usually developing in patients after a brief period of stay in the Intensive Care Unit (ICU). This case report aims to analyze the Clinical feature, diagnosis and treatment of CIM of 60-year-old male case with Chronic Obstructive Lung disease (COPD) admitted to the intensive care. Health professionals working at critical care unit should be aware that any ICU patient may develop CIM.

摘要

危重病性肌病(CIM)是一种广泛的肌肉无力和神经功能障碍综合征,可在接受重症监护的危重病患者中发生。CIM通常主要通过专门的电生理检查或肌肉与神经活检来鉴别,其病因尚不清楚,不过人们认为它可能是全身炎症反应综合征的一种神经表现,通常在患者入住重症监护病房(ICU)一段时间后出现。本病例报告旨在分析一名因慢性阻塞性肺疾病(COPD)入住重症监护病房的60岁男性患者CIM的临床特征、诊断及治疗。在重症监护病房工作的医护人员应意识到,任何ICU患者都可能发生CIM。

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