Sanders D B, Scoppetta C
Department of Medicine, Duke University Medical School, Durham, North Carolina.
Neurol Clin. 1994 May;12(2):343-68.
Although there is general agreement among experienced physicians on the usefulness of different treatments for myasthenia gravis (MG), so many variations are possible that in practice, similar patients treated by different physicians rarely are treated the same. Because of these divergent opinions one may read papers in reputable journals that present and propose extremely variable programs for treating MG. Scientific controversies, although stimulating, often result in confusion, especially for less experienced physicians seeking treatment guidelines for their patients. This article offers the authors' opinions on the benefits and limitations of the therapeutic modalities used in MG and their proposals of therapeutic plans for specific situations.
尽管经验丰富的医生对于重症肌无力(MG)不同治疗方法的有效性普遍达成了共识,但实际情况中仍存在诸多变数,以至于不同医生治疗的相似患者很少会得到相同的治疗。由于这些不同观点,人们可能会在知名期刊上读到提出极其多样的MG治疗方案的论文。科学争议虽然具有启发性,但往往会导致困惑,尤其是对于那些为患者寻求治疗指南的经验不足的医生来说。本文给出了作者对于MG治疗方式的益处和局限性的看法,以及针对特定情况的治疗计划建议。