- 1、本文档共40页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
- 5、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
- 6、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们。
- 7、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 8、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
重症疾病性神经肌肉病英文第1页/共40页
AbbreviationsCIP critical illness polyneuropathyCIM critical illness myopathyCMAP compound muscl action potentialsSNAP sensory nerve action potentialEMG electromyogramSIRS systematic inflammatory response syndrome第2页/共40页
HISTORICAL REVIEWIn 1955 observed a polyneuropathy after shock or cardiac arrestIn 1961 described “coma-polyneuropathies” In 1971 described a polyneuropathy in patients with burnsin 1977 severe polyneuropathy about septic patients第3页/共40页
By 1983 the term “critical illness polyneuropathy”(CIP) was appliedRecently the termed “critical illness myopathy ”(CIM) was applied第4页/共40页
Studies about AetiologyvariouslyThe various factors associated with the SIRS CIP and CIM (Fig. 1) A simplified depiction of theoretical mechanisms of dysfunction in CIP and CIM.(Fig. 2 )Disorder of microcirculation(Fig. 3)第5页/共40页
Adapted with permission from Bolton.Figure. 1第6页/共40页
Adapted with permission fromBolton25.Figure. 2第7页/共40页
Figure.3 Schematic, theoretical presentation of disturbances in the microcirculation to various organs, including brain, peripheral nerve, and muscle, in SIRS.第8页/共40页
第9页/共40页
Incidence 50%–70% SIRS 20%–50% ICU第10页/共40页
? Weakness of limb and respiratory muscle ? Tendon reflexes absent or decrease ?Distal loss to pain, temperature, and vibrationClinical Features第11页/共40页
The diagnostic criteria for CIP are shown in following TableDiagnosis第12页/共40页
Diagnostic criteria for CIPThe patient is critically ill (sepsis and multiple organ failure,SIRS)Difficulty weaning patient from ventilator afternonneuromuscular causes such as heart and lung diseasehave been excludedPossible limb weaknessElectrophysiologic evidence of axonal motor and sensory polyneuropathy第13页/共40页
Decline in the CMAP amplitude firstly (Fig. 4)Dcline in the SNAP amplitudeMotor unit potentials may be reduced in numberSingle-fiber EMG indicate dysfunction of terminal motor axonsElectrophysiologic Features第14
您可能关注的文档
最近下载
- 苏教版五年级上册《我们的大脑》教学设计.docx
- 贵州省2024年高三年级4月适应性考试 地理试卷.docx
- GEUPS维护及故障讲课文档.ppt VIP
- 触摸屏技术的原理及应用.docx VIP
- 路桥施工计算手册.docx
- 年产50吨瑞舒伐他汀钙、5吨匹伐他汀钙、50吨恩格列净、50吨恩格列净中间体EM1、5吨贝曲西班马来酸盐、200吨阿托伐他汀中间体B-4、200吨瑞舒伐他汀中间体D-1等产品项目环境影响报告书.pdf
- 六年级美术上册《劳动最光荣》课件.ppt
- 抖音直播间1000个违禁词(一举夺葵版).docx
- 反渗透法海水淡化产品水水质控制指标及水质调整措施.pdf VIP
- 《论语》论仁、孝、君子、教育.doc
文档评论(0)