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延髓外侧梗死所致急性呼吸衰竭——一种病因多样且需特别警惕的未知病症:病例系列

Acute Respiratory Failure Caused by Lateral Medullary Infarction - An Unknown Condition with Varied Etiology and Requiring Special Vigilance: A Case Series.

作者信息

Miyata Ako, Doijiri Ryosuke, Takikawa Kohei, Sonoda Takuji, Yamazaki Naoya, Egashira Shuhei, Oi Kiyotaka, Kato Kanako, Oda Momoyo, Kakisaka Yosuke, Kikuchi Takahiko

机构信息

Department of Neurology, Iwate Central Prefectural Hospital, Japan.

Department of Rehabilitation, Iwate Central Prefectural Hospital, Japan.

出版信息

Intern Med. 2025 Mar 15;64(6):947-951. doi: 10.2169/internalmedicine.3993-24. Epub 2024 Sep 4.

Abstract

Acute respiratory failure (ARF) due to lateral medullary infarction (LMI) can be a fatal condition, although its details remain unclarified. To clarify clinical aspects of ARF due to LMI, we reviewed eight applicable cases treated in a tertiary hospital. Of them, we focused on the detailed clinical course of one case. We clarified that even patients with a serious clinical course may have no apparent magnetic resonance imaging abnormalities in respiratory control centers at the initial examination. We should be mindful that respiratory monitoring is necessary even without infarction of regions responsible for respiratory control at the initial presentation.

摘要

尽管延髓外侧梗死(LMI)所致急性呼吸衰竭(ARF)的细节尚不清楚,但它可能是一种致命疾病。为了阐明LMI所致ARF的临床特征,我们回顾了在一家三级医院接受治疗的8例适用病例。其中,我们重点关注了1例病例的详细临床过程。我们明确,即使是临床过程严重的患者,在初次检查时呼吸控制中枢在磁共振成像上也可能无明显异常。我们应该注意,即使在初次就诊时没有负责呼吸控制区域的梗死,呼吸监测也是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/397c/11986301/4908acaa4fc0/1349-7235-64-0947-g001.jpg

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