Myasthenic crisis of 25 cases.docVIP

 PAGE \* MERGEFORMAT 9 Myasthenic crisis of 25 cases [Abstract] Objective To review the myasthenic crisis (MC rescue experience, and experience. Methods 15 rescue 25 cases of MC between the clinical characteristics, treatment and complications were analyzed. All the patients had bulbar muscle paralysis before the crisis. incentive of 16 cases of upper respiratory tract infection. herein are mechanical ventilation, antibiotics and high-dose hormone therapy, in which plasma exchange in 15 cases, 10 cases of non-plasma exchange. The results were mechanical ventilation time was (12.56 + -8.55 days), ventilator-associated pneumonia rate was 76.00%. fatality rate was 20.00%. including ventilation time of plasma exchange group (8.05 + -6.23) days, rather than the plasma exchange group (15 + -10.50) days, the plasma exchange group than the non-mechanical ventilation plasma exchange group was significantly shorter (P lt;0.05. Conclusion MC upper respiratory tract infection is the main predisposing factors. palsy is a precursor to MC. in a timely manner and strengthen the respiratory care and mechanical ventilation can improve the prognosis of crisis, significantly reduce mortality. large dose of hormones and plasma exchange treatment can shorten the duration of crisis. [Keywords:] myasthenia gravis with plasma exchange aid Myasthenic crisis (myasthenic crisis, MC is myasthenia gravis (myasthenia gravis, MG patients themselves caused by improper treatment of exacerbations or respiratory muscle weakness due to severe difficulty breathing state. MC incidence of 15% to 20% [ 1]. In the past mortality crisis since the 80 century, the high .20, because of the crisis to deepen understanding of respiratory therapy management improvement and adoption of new mortality has been reduced to less than 20% [2]. I Section 1993 July ~ August 2008 MC 25 were rescue cases, treatment results now reported as follows. 1 Data and methods 1.1 General Information MC 25 patient