Echevarria C, Bourke S C, Gibson G J
North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear, NE29 8NH, United Kingdom.
Newcastle University, Tyne And Wear, NE2 4HH, United Kingdom.
Respir Med Case Rep. 2012;5:73-5. doi: 10.1016/j.rmedc.2011.07.006. Epub 2011 Nov 4.
A patient with lower-limb onset ALS presented with a one-month history of vasovagal episodes and a one-week history of cough productive of green sputum and lethargy. She was drowsy and in acute on chronic type-two respiratory failure. She responded to non-invasive ventilation, however she suffered recurrent episodes of profound bradycardia on removal of the mask, which gradually resolved over ten days. We have reviewed the literature and offer a potential explanation for these events.
一名下肢起病的肌萎缩侧索硬化症患者，有1个月的血管迷走神经发作史，以及1周的咳绿色痰和嗜睡病史。她嗜睡，处于急性慢性二型呼吸衰竭状态。她对无创通气有反应，然而在去除面罩时她反复出现严重心动过缓，这种情况在10天内逐渐缓解。我们查阅了文献，并对这些事件给出了一种可能的解释。
