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首页> 外文期刊>Turkish Journal of Emergency Medicine >Myasthenia gravis with acute respiratory failure in the emergency department
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Myasthenia gravis with acute respiratory failure in the emergency department

机译:重症肌无力合并急诊出现急性呼吸衰竭

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Acute respiratory failure (ARF) is defined as a sudden malfunction in the ability of respiratory system to maintain adequate gas exchange. Acute hypercapnic respiratory failure develops as a result of ventilation deficiency and it is defined as an increase of PaCO 2 above 45?mmHg. Myasthenia Gravis (MG) is a sporadically developing auto-immune deficiency where the neuro-muscular transmission is affected and it is one of the important reasons for neurologically-induced respiratory distress. Here, we report a case of a 75-year-old male patient previously undiagnosed MG, who presented with ARF. MG is not a common entity that we encounter daily. Patients on occasions may present to the emergency department because of acute exacerbation. Though most of them were known cases, we should be aware of some unrecognized cases and should consider MG as a differential diagnosis for patients with acute respiratory failure.
机译:急性呼吸衰竭(ARF)定义为呼吸系统维持足够的气体交换能力突然发生故障。通气不足可导致急性高碳酸血症性呼吸衰竭,其定义为PaCO 2升高至45?mmHg以上。重症肌无力(MG)是一种偶发性发展的自身免疫缺陷,其中神经肌肉传递受到影响,这是神经系统引起的呼吸窘迫的重要原因之一。在这里,我们报告一例先前未诊断为MG的75岁男性患者,该患者曾出现ARF。 MG不是我们每天都会遇到的常见实体。由于急性加重,患者有时可能会出现在急诊科。尽管其中大多数是已知病例,但我们应注意一些未发现的病例,应将MG作为急性呼吸衰竭患者的鉴别诊断。

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