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首发重症肌无力危象所致急性呼吸衰竭

Acute Respiratory Failure Due to Inaugural Myasthenia Crisis.

作者信息

Ntawuruhunga Irene N, Nougon Gervais

机构信息

Emergency Medicine, La Clinique Saint-Luc Bouge (SLBO), Namur, BEL.

出版信息

Cureus. 2024 Aug 29;16(8):e68090. doi: 10.7759/cureus.68090. eCollection 2024 Aug.

Abstract

Myasthenia gravis is a rare disease that can lead to a serious condition known as myasthenic crisis (MC). The diagnosis of MC is clinical and relies on the presence of typical symptoms that can be absent, emphasizing the importance of attracting the attention of emergency physicians to this rare cause of respiratory failure. We present the case of a 66-year-old woman presenting to the emergency department with a history of recent muscle fatigue and dehydration who developed acute respiratory failure requiring mechanical ventilation.

摘要

重症肌无力是一种罕见疾病,可导致一种称为重症肌无力危象(MC)的严重情况。MC的诊断基于临床,依赖于典型症状的存在,但这些症状可能不存在,这凸显了引起急诊医生对这种罕见的呼吸衰竭病因予以关注的重要性。我们报告了一例66岁女性患者,她因近期肌肉疲劳和脱水病史就诊于急诊科,随后发展为需要机械通气的急性呼吸衰竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c6d/11437520/c839cee3cde2/cureus-0016-00000068090-i01.jpg

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