University of Washington School of Medicine, Seattle, WA, USA.
Am J Respir Crit Care Med. 2013 May 15;187(10):1046-55. doi: 10.1164/rccm.201210-1804CI.
Patients with chronic neuromuscular diseases such as spinal cord injury, amyotrophic lateral sclerosis, and muscular dystrophies experience respiratory complications that are cared for by the respiratory practitioner. An organized anatomical approach for evaluation and treatment is helpful to provide appropriate clinical care. Effective noninvasive strategies for management of hypoventilation, sleep-disordered breathing, and cough insufficiency are available for these patients.
患有慢性神经肌肉疾病（如脊髓损伤、肌萎缩侧索硬化症和肌肉营养不良症）的患者会出现呼吸并发症，这些并发症需要由呼吸科医生进行治疗。为了提供适当的临床护理，对这些患者进行评估和治疗时，采用有组织的解剖学方法是有帮助的。对于这些患者，目前已经有有效的无创策略来管理通气不足、睡眠呼吸障碍和咳嗽无力。
