Pfeifer G, Schulte am Esch J, Koenig A
Fortschr Neurol Psychiatr Grenzgeb. 1977 Oct;45(10):529-35.
The value of artificial respiration for the bridging of crises in patients with myasthenia gravis is emphasized on some typical cases. Further use, beyond a life-saving indication, for limited periods is described. Such relative indications may exist, when there is not yet complete respiratory failure but when a worsening of myasthenic weakness or cholinergic intoxication may threaten a respiratory crisis. In order to prevent serious complications, early artificial respiration may be indicated in the following situations: deterioration of cardio-pulmonary complications, important changes in therapy, particularly at the start of immuno-suppressive treatment, following tracheobronchial aspiration, in chronic cholinergic intoxication, following operations under general anesthesia, particularly after thymectomy. The importance of careful psychotherapy of myasthenics threatened by respiratory crises and the well-timed information on the chances, intentions and goals of intensive care including artificial respiration is emphasized.
通过一些典型病例强调了人工呼吸在重症肌无力患者危机过渡中的价值。描述了在超出救命指征的情况下有限期的进一步使用。当尚未出现完全呼吸衰竭，但重症肌无力肌无力或胆碱能中毒的恶化可能威胁到呼吸危象时，可能存在此类相对指征。为预防严重并发症，在以下情况下可能需要早期进行人工呼吸：心肺并发症恶化、治疗发生重要变化，尤其是在免疫抑制治疗开始时、气管支气管吸引后、慢性胆碱能中毒时、全身麻醉手术后，特别是胸腺切除术后。强调了对受到呼吸危象威胁的重症肌无力患者进行仔细心理治疗的重要性，以及及时告知其重症监护（包括人工呼吸）的机会、意图和目标。
