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[重症肌无力患者“阻滞”性神经肌肉突触现象的电生理分析]

[Electrophysiological analysis of the phenomenon of "blocked" neuromuscular synapses in patients with myasthenia gravis].

作者信息

Gekht B M, Pruidze M O, Sanadze A G

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(3):96-102.

PMID:2728757
Abstract

Based on the investigation of 33 distal and 163 proximal muscles in myasthenic patients in which posttetanic and postactivation facilitation was studied and adequate proserin doses injected, the authors have shown the "block" phenomenon to be most pronounced in proximal muscles. The authors offered to use the reversibility coefficient as reflecting the possible restoration of neuromuscular conduction. Evaluation of the "block" and a reversibility coefficient plays major role in assessment of contribution of presynaptic structures to operation of mechanisms dicturbing the neuromuscular conductance in myasthenia.

摘要

基于对重症肌无力患者33块远端肌肉和163块近端肌肉的研究,其中研究了强直后和激活后易化作用,并注射了适当剂量的新斯的明,作者发现“阻滞”现象在近端肌肉中最为明显。作者提议使用可逆系数来反映神经肌肉传导的可能恢复情况。“阻滞”和可逆系数的评估在评估突触前结构对重症肌无力中干扰神经肌肉传导机制运作的贡献方面起着主要作用。

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