重症肌无力诊疗,结合2015版指南PPT.pptx

重症肌无力（myasthenia gravis/MG）Neurology NeurosurgeryWard 3中国指南2015经典教科书介绍 重症肌无力是神经肌肉接头处的烟碱乙酰胆碱受体受到抗体介导的侵袭或Musk抗体而引起的一种神经肌肉传递功能缺失。 本病的特征是波动性肌无力，经胆碱脂酶抑制剂可以改善Erb W. Zur casuistic der bulba¨ren La¨hmungen. Arch Psychiat 1891;9:325.December 22.—Great improvementJanuary 17,1891.—She is slightly worse. The tongue appears atrophied. During the next month fluctuations in severity of the symptoms occurredFeb, 1891—Is much worse again. She now has ptosis, diplopia, difficulty in mastication, and atrophy of the masseters. The movements of the soft palate are sluggish; speech is nasal … the voice is weak, es