Jiaxin Chen, Jingjing Li, Kai Zhu, Zhou Zhou, Weibin Liu, Haiyan Wang, Huiyu Feng
Department of Neurology, The First Affiliated Hospital of Sun Yat-sen University, Sun Yat-sen University, Guangzhou, China.
Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Disease, Guangzhou, China.
Front Neurol. 2017 May 19;8:217. doi: 10.3389/fneur.2017.00217. eCollection 2017.
A 57-year-old woman with myasthenia gravis (MG), who had experienced a myasthenic crisis, complained of coughing while drinking. At first, this appeared to be a sequela of the myasthenic crisis. However, after further investigation, the problem was identified as a tracheoesophageal fistula, a complication of tracheostomy. Here, we describe this special case in the hope that we can improve diagnostic accuracy by providing a reminder for other physicians to consider the differences between MG and tracheoesophageal fistula. It is very important to pay more attention to such situations in clinical scenarios and administer the most appropriate treatment without delay.
一名57岁的重症肌无力（MG）女性患者曾经历过重症肌无力危象，她主诉在饮水时咳嗽。起初，这似乎是重症肌无力危象的后遗症。然而，经过进一步检查，问题被确定为气管食管瘘，这是气管切开术的一种并发症。在此，我们描述这个特殊病例，希望通过提醒其他医生考虑MG和气管食管瘘之间的差异来提高诊断准确性。在临床场景中更加关注此类情况并及时给予最合适的治疗非常重要。
