Department of Neurology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Muscle Nerve. 2012 Sep;46(3):440-2. doi: 10.1002/mus.23445.
The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care.
本报告旨在探讨重症肌无力危象（MC）需要重症监护的预测因素。我们回顾性分析了我院的 MC 患者，并比较了 ICU 组和病房管理组。与病房管理组相比，ICU 组患者的 MG-ADL 量表评分更高、首发症状非眼部、感染触发、MGFA 分类更高。对于这些具有预后因素的患者，早期实施重症监护可能获得更好的结局。
