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重症肌无力的诊断与管理

Diagnosis and management of myasthenia gravis.

作者信息

Barber Christopher

机构信息

Birmingham City University, Birmingham, England.

出版信息

Nurs Stand. 2017 Jun 21;31(43):42-47. doi: 10.7748/ns.2017.e10434.

Abstract

Myasthenia gravis is a rare long-term neurological condition that is characterised by fluctuating skeletal muscle weakness and fatigue, as well as respiratory difficulties. It is both an acquired autoimmune disease and a chronic neuromuscular disorder. Because of its rarity, myasthenia gravis is relatively unknown and may be unfamiliar to many nurses. While there are various types of myasthenia, this article focuses on myasthenia gravis, exploring its symptoms, diagnosis and treatment, and examining the nurse's role in managing the condition. The symptoms of myasthenic crisis and cholinergic crisis are also explained, and the experience of patients with myasthenia gravis in hospital and community settings is illustrated using case studies.

摘要

重症肌无力是一种罕见的长期神经系统疾病,其特征为骨骼肌无力和疲劳症状波动,以及呼吸困难。它既是一种获得性自身免疫性疾病,也是一种慢性神经肌肉疾病。由于其罕见性,重症肌无力相对不为人知,许多护士可能也不熟悉。虽然有多种类型的肌无力,但本文重点关注重症肌无力,探讨其症状、诊断和治疗,并研究护士在管理该疾病中的作用。文中还解释了肌无力危象和胆碱能危象的症状,并通过案例研究说明了重症肌无力患者在医院和社区环境中的经历。

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