论文部分内容阅读
重症肌无力危象是指发生在重症肌无力病人身上的、由呼吸肌无力所致的呼吸困难。1993年1月～1994年12月我院共收治重症肌无力18例,其中危象2例,危象发生率为11.1％,获得抢救成功。兹就危象时气管切开的时机问题讨论如下。1 病例报告 例1患者男,45岁。因说话、吞咽及呼吸困难2天于1993年9月20日入院。患者近4个月来双眼睑下垂,四肢无力,诊断为重症肌无力,服用吡啶斯的明50mg,每日3次,症状好转。3个月前发生呼吸困难,CT扫描发现胸腺瘤,行手术切除。病理报告:恶性胸腺瘤。1周前饮食不周而腹泻,每天6～7次。体查:体
Myasthenia gravis crisis refers to the patient with myasthenia gravis caused by respiratory muscle weakness due to dyspnea. From January 1993 to December 1994, 18 cases of myasthenia gravis were treated in our hospital, including 2 cases of crisis and 11.1% of crisis, and were successfully rescued. Here is a discussion of the timing of tracheotomy in crisis. 1 case report 1 patient male, 45 years old. She was admitted to hospital on September 20, 1993 due to speaking, swallowing and difficulty breathing. Patients with ptosis, limb weakness for nearly 4 months, diagnosis of myasthenia gravis, taking pyridostigmine 50mg, 3 times a day, the symptoms improved. Dyspnea occurred 3 months ago. Thymoma was found on the CT scan and was surgically removed. Pathology report: Malignant thymoma. 1 week ago, poor diet and diarrhea, 6 to 7 times a day. Physical examination: body