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胸腔病例(三九○)重症肌無力患者合併急性高碳酸血性呼吸衰竭

摘要


急性高碳酸血性呼吸衰竭(acute hypercapnic respiratory failure)是在許多醫療情境中都可能遇到的狀況,藉由正確的鑑別診斷找出源頭,並給予適當的治療,讓臨床照護者有機會能成功地改善患者呼吸衰竭的情形。本文介紹一名因急性高碳酸血性呼吸衰竭的案例,在急診接受插管後住院治療,在一系列檢查後診斷出重症肌無力(myasthenia gravis),經治療後順利出院,並於神經內科門診持續追蹤。

參考文獻


Gurka DP, Balk RA. Acute respiratory failure, in: Critical Care Medicine, 3rd edition. Elsevier 2008;773-94
Berry RB, Sriram P. Evaluation of hypoventilation. Semin Respir Crit Care Med 2009;30:303-14.
Davidson AC, Banham S, Elliott M, et al. BTS/ICS guideline for the ventilator management of acute hypercapnic respiratory failure in adults. Thorax 2016;71:ii1.
Soffler MI, Rose A, Hayes MM, et al. Treatment of Acute Dyspnea with Morphine to Avert Respiratory Failure. Ann Am Thorac Soc 2017;14:584.
O'Driscoll BR, Howard LS, Earis J, et al. BTS guideline for oxygen use in adults in healthcare and emergency settings. Thorax 2017;72:ii1.

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