肌无力患者的临诊应对
- Author
- Marc L Miller, MD
Marc L Miller, MD
- Clinical Assistant Professor of Medicine
- Tufts University School of Medicine
- Section Editors
- Ira N Targoff, MD
Ira N Targoff, MD
- Section Editor — Muscle Disease
- Professor of Medicine, Section of Rheumatology
- University of Oklahoma Health Sciences Center
- Jeremy M Shefner, MD, PhD
Jeremy M Shefner, MD, PhD
- Section Editor — Neuromuscular Disease
- Professor and Chair of Neurology, Barrow Neurological Institute
- Professor of Neurology, University of Arizona, Phoenix
- Clinical Professor of Neurology, Creighton University
- Deputy Editor
- Monica Ramirez Curtis, MD, MPH
Monica Ramirez Curtis, MD, MPH
- Deputy Editor — Rheumatology
- Instructor of Medicine, Part-time
- Harvard Medical School
引言
对主诉“无力”患者的评估包括以下3个步骤：
●区别是真正意义上的肌无力还是并非肌力丧失引起的虚弱无力或运动障碍
●在神经肌肉系统内，对产生无力的病变进行定位
●确定病变的原因
本专题将通过解决这3个问题总结肌无力患者的临诊应对。用于肌无力评估的特定试验以及呼吸肌无力的临床表现和评估都将单独讨论。 (参见“肌无力评估中的肌肉检查”和“神经肌肉疾病所致呼吸肌无力的临床表现及诊断”)
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