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以呼吸衰竭和心脏骤停为表现的多发性肌炎:一例报告

Polymyositis Presenting With Respiratory Failure and Cardiac Arrest: A Case Report.

作者信息

Felemban Jeehad M, Faloudah Ammar Z, Mawlawi Murad M, Shebly Ahmed Y, AbuRageila Mohannad

机构信息

Adult Critical Care Medicine, Security Forces Hospital, Makkah, SAU.

Adult Critical Care Medicine, King Abdullah Medical City, Makkah, SAU.

出版信息

Cureus. 2025 Apr 24;17(4):e82887. doi: 10.7759/cureus.82887. eCollection 2025 Apr.

Abstract

This case report presents a 30-year-old woman who experienced respiratory failure and cardiac arrest as a complication of polymyositis, which is an idiopathic inflammatory myopathy disease. Autoimmune diseases, such as polymyositis, can cause respiratory failure due to respiratory muscle weakness or interstitial lung involvement, leading to significant complications if not promptly addressed. The patient's complex clinical presentation included progressive muscle weakness, respiratory distress, and cardiac instability, underscoring the necessity for a comprehensive diagnostic approach. The report details the patient's clinical course, diagnostic workup, and multidisciplinary management, which involved immunosuppressive therapy, mechanical ventilation, and physiotherapy. This case emphasizes the critical role of a coordinated, multidisciplinary team in diagnosing and managing severe autoimmune diseases with multisystem involvement.

摘要

本病例报告介绍了一名30岁女性,她因多发性肌炎(一种特发性炎性肌病)并发呼吸衰竭和心脏骤停。自身免疫性疾病,如多发性肌炎,可因呼吸肌无力或间质性肺受累导致呼吸衰竭,若不及时处理会引发严重并发症。患者复杂的临床表现包括进行性肌无力、呼吸窘迫和心脏不稳定,凸显了全面诊断方法的必要性。该报告详细描述了患者的临床病程、诊断检查以及多学科管理,其中包括免疫抑制治疗、机械通气和物理治疗。本病例强调了协调的多学科团队在诊断和管理累及多系统的严重自身免疫性疾病中的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4b/12103700/37ee93362fb6/cureus-0017-00000082887-i01.jpg

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