Weiner P, Ganem R, Weiner M
Dept. of Medicine A, Hillel Yaffe Medical Center, Hadera.
Harefuah. 1993 Apr 15;124(8):474-7, 527.
Abnormal antibody production is now recognized as the basis of many diseases, among them myasthenia gravis (MG) and a variant of bronchial asthma. It is not unusual to find 2 or even more of these diseases in the same patient. A patient in whom both MG and bronchial asthma were diagnosed is presented. In both diseases the respiratory muscles are mechanically disadvantaged, which may result in severe dyspnea. In our case, despite specific treatment for both diseases severe attacks of dyspnea still occurred. Specific inspiratory muscle training was followed by significant clinical improvement. There was indirect evidence that respiratory muscles can be trained in patients with MG. Thus, patients with MG with respiratory muscle involvement may benefit from respiratory muscle training.
异常抗体产生现已被确认为许多疾病的基础，其中包括重症肌无力（MG）和支气管哮喘的一种变体。在同一患者中发现两种甚至更多种这些疾病并不罕见。本文介绍了一位同时被诊断患有MG和支气管哮喘的患者。在这两种疾病中，呼吸肌在机械方面都处于劣势，这可能导致严重的呼吸困难。在我们的病例中，尽管对两种疾病都进行了特异性治疗，但仍发生了严重的呼吸困难发作。进行特异性吸气肌训练后，临床症状有了显著改善。有间接证据表明，MG患者的呼吸肌可以得到训练。因此，呼吸肌受累的MG患者可能会从呼吸肌训练中获益。
