- 期刊
Respiratory Failure in an Adult with Chickenpox-associated Guillain-Barré Syndrome- A Case Report and Literature Review
呼吸衰竭發生於成人水痘併發Guillain-Barré症候群之病例報告及文獻回顧
摘要
成人水痘感染併發Guillain-Barré症候群的病例相當少見。以前的病例報告顯示，病人通常不會發生呼吸衰竭，並且對支持性或特定性治療的反應良好。我們報告了一個37歲的男性病人，在感染了水痘之後發生了四肢麻痺及呼吸衰竭，在重複給予血漿置換術及免疫球蛋白靜注後，並沒有得到明顯的改善。此病人呼吸肌肉力量直到病發後的60天才開始改善，在第145天後才脫離呼吸器。
並列摘要
Chickenpox-associated Guillain-Barré syndrome (GBS) in adults is rare. Patients in reported previous studies have not usually developed respiratory failure and have responded well to supportive or specific therapies. In this report, we describe a 37-year-old man who developed quadriplegia and respiratory failure due to chickenpox infection that did not improve after repeated plasmapheresis and intravenous immunoglobulin (1VlG) treatments. Respiratory muscle strength did not improve until 60 days after disease onset, and the patient was finally liberated from mechanical ventilation after having been intubated for 145 days.
延伸閱讀
- 楊清鎮、黃奎彰、阮祺文（2016）。成人水痘肺炎合併急性呼吸衰竭－病例報告及文獻回顧。中華職業醫學雜誌，23(2)，111-119。https://www.airitilibrary.com/Article/Detail?DocID=10233660-201604-201604270011-201604270011-111-119
- Chang, H. C., CHerng, Y. G., Lee, T. S., Lin, C. J., Tai, Y. T., Chen, T. G., & Chen, T. L. (1999). HELLP症候群合併産前肺水腫－病例報告. Acta Anaesthesiologica Sinica, 37(1), 41-44. https://doi.org/10.6955/AAS.199903.0041
- Chang, C. Y., & Hsieh, C. C. (2022). Boerhaave's症候群引起之左側水氣胸：病例報告. 南臺灣醫學雜誌, 18(1), 36-39. https://doi.org/10.6726/MJST.202206_18(1).0005
- Tseng, Y. F., Kuo, S. W., Lee, J. M., & Hsu, H. H. (2018). 顯影劑引發之急性呼吸窘迫症候群：案例報告. 胸腔醫學, 33(1), 43-49. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201802-201802070003-201802070003-43-49
- Chen, C. C., Lu, J. Y., Lin, M., Yen, M. Y., Wang, H. C., & Yang, Y. F. (1996). 成人水痘性肺炎病例報告. 中華民國急救加護醫學會雜誌, 7(4), 176-180. https://doi.org/10.30018/JECCM.199612.0006