ICU获得性肌无力 不容忽视

S中的“肌肉器官”衰竭。Р描述ICU病人肌无力的术语Р危重病性肌病(ctitical illness myopathy, CIM) ?危重病性多发性神经病(critical illness polyneuropathy, CIP)?危重病性神经-肌肉疾病(critical illness neuromyopathy,CINM)?急性四肢瘫痪性肌病(acute quadriplegic myopathy, AQM)?急性重症坏死性肌病(acute necrotizing myopathy of intensive care) ?危重病性神经肌肉疾病(critical illness neuromuscular disease) ?ICU获得性麻痹(ICU-acquired paresis)?粗肌丝肌病(thick-filament myopathy)?急性皮质激素肌病?急性皮质激素相关性肌病?泮库溴铵相关性肌病?重症监护肌病Р定义、流行病学Р危重病肌病(critical illness myopathy, CIM)? 是指危重病人发生的周围神经、神经肌肉接头或肌肉的损害Р危重病多发性神经病(critical illness polyneuropathy, CIP)? 继发于危重病的感觉和运动神经元轴突变性疾病, 尤以脓毒症和多器官功能衰竭病人多见。Р危重病神经-肌肉病(critical illness neuromyopathy,CINM) ? CIM与CIP并存Р两者在临床上不易区分, 均表现为肌肉无力和麻痹。Р任何原因导致的危重症都可引起上述二种并发症,它们可单独发生亦可合并发生。Р2014 ATS指南:? 成人ICU获得性无力的诊断РAm J Respir Crit Care Med Vol 190, Iss 12, pp 1437–1446, Dec 15, 2014