重症疾病性神经肌肉病.pptVIP

Incidence At least one-third of ICU patients（ treated for status asthmaticus） In 7% of patients after transplantation Clinical Features Major feature is flaccid weakness Tendon reflexes depressed Ophthalmoplegia may be present Myalgias are uncommon Diagnostic criteria of CIM ● SNAP amplitudes 80% of the lower limit of normal ● Needle EMG with short-duration, low-amplitude MUPs with early or normal full recruitment, with or without fibrillation potentials ● Absence of a decremental response on repetitive nerve stimulation Diagnosis ● Muscle histopathologic findings of my