心脏手术并发的危重病性神经肌肉病
Critical Illness Neuromyopathy Complicating Cardiac Surgery.
作者信息
Baek Wan Ki, Kim Young Sam, Kim Joung Taek, Yoon Byoung-Nam
机构信息
Department of Thoracic and Cardiovascular Surgery, Incheon, Korea.
Department of Neurology, Inha University Hospital, Incheon, Korea.
出版信息
Acute Crit Care. 2018 Feb;33(1):51-56. doi: 10.4266/acc.2016.00255. Epub 2017 Jul 11.
Abstract
Critical illness neuromyopathy (CINM) is a sporadically reported disease in the setting of an intensive care unit developing in the process of managing a critical illness. The disease primarily affects the motor and sensory axons and results in severe limb weakness rendering ventilator weaning extremely difficult. We report a case of CINM after cardiac valve surgery. Quadriplegia developed after the operation and resolved slowly over the following 2 months. The patient was discharged home free of neurologic symptoms.
摘要
危重病性神经肌肉病（CINM）是一种在重症监护病房中管理危重病过程中偶有报道的疾病。该疾病主要影响运动和感觉轴突，导致严重的肢体无力，使呼吸机撤机极其困难。我们报告一例心脏瓣膜手术后发生CINM的病例。术后出现四肢瘫痪，并在接下来的2个月内缓慢恢复。患者出院时无神经症状。
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Clin Neurol Neurosurg. 2006 Oct;108(7):621-7. doi: 10.1016/j.clineuro.2006.04.003. Epub 2006 May 30.
3
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5
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Crit Care Med. 2005 Feb;33(2):349-54. doi: 10.1097/01.ccm.0000153521.41848.7e.
7
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