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On pneumothorax in patients with myasthenia gravis crisis rescue and care
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On pneumothorax in patients with myasthenia gravis crisis rescue and care
[Paper Keywords] myasthenia gravis, crisis, pneumothorax, rescue and care
[Abstract] concluded one case of pneumothorax in patients with myasthenia gravis crisis rescue and care of myasthenic crisis pneumothorax as emergency rescue and care points through strict observation of the disease, treatment with a doctor closely, focusing on patient psychological care, attention to treatment of adverse reactions were observed and timely treatment and enhanced care, to save patients time to win, to improve the patient’s quality of life.
Myasthenia gravis (MG is the acetylcholine receptor-mediated, immune-dependent, complement in a nerve - neuromuscular disorder of autoimmune diseases, lesions mainly involving the nerve - neuromuscular postsynaptic membrane acetylcholine receptor the clinical features of a part or the whole body skeletal muscle weakness and abnormal fatigue, usually after the event intensified, rest after mitigation, if abrupt severe respiratory muscle weakness, which can not maintain ventilatory function, known as myasthenic crisis, sub- To: myasthenic crisis, cholinergic crisis, anti-bend crisis. dangerous illness, if not rescued, mostly because of respiratory arrest and death of our hospital in January 2007 where one case of myasthenia gravis in crisis When tracheotomy pneumothorax in patients after active rescue and care, received good results, now reported its first-aid and nursing as follows:
Introduction 1 records Patient, female, 18 years old, 10 years because of repeated ptosis, difficulty in breathing 3 h in at 7:50 on January 4, 2007 Income hospital ICU treatment admission examination: body temperature did not rise, HR 136 times / min, R 14 times / min, BP 102/66 mm Hg (1 mm Hg = 0.133 kPa, patient confusion, cyanotic lips, mouth have more saliva, and other large and round on both sides of the pupil diameter of 3.5 mm, light reflex
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