月旦知識庫
月旦知識庫 會員登入元照網路書店月旦品評家
 
 
  1. 熱門:
首頁 臺灣期刊   法律   公行政治   醫事相關   財經   社會學   教育   其他 大陸期刊   核心   重要期刊 DOI文章
台灣專科護理師學刊 本站僅提供期刊文獻檢索。
  【月旦知識庫】是否收錄該篇全文,敬請【登入】查詢為準。
最新【購點活動】


篇名
以類中風表現之急性炎症性脫髓鞘性多發性神經病變:病例報告
並列篇名
Acute Inflammatory Demyelinating Polyneuropathy Presented as Mimicking Stroke: A Case Report
作者 鍾采彣沈桂鳳 (Kuei-Feng Shen)江彥萩 (Yen-Chiu Chiang)
中文摘要

急性炎症性脫髓鞘性多發性神經病變是一種罕見疾病,屬於格林-巴利症候群中最為常見的亞型,倘若未能及時治療,會造成四肢癱瘓,永久性失能,甚至引發呼吸衰竭,需仰賴呼吸輔助器治療。本文描述一位40歲女性印尼外籍移工,因全身無力合併吞嚥困難入院。個案入院後透過臨床症狀、檢驗及理學檢查排除腦部、頸部、神經性方面及自體免疫疾病,透過電生理檢查、腦脊髓液分析及臨床症狀,最終確診為急性炎症性脫髓鞘性多發性神經病變。因病程進展快速,在治療過程中發生呼吸衰竭輔以呼吸器治療,經醫療團隊與家屬討論後,藉由血漿置換術及藥物治療,最後成功脫離呼吸器,透過積極復健,於出院前個案肌肉力量已恢復正常。此疾病臨床表徵與許多疾病相似度極高,透過病史詢問、影像學、腰椎穿刺及電生理檢查來進行鑑別診斷,確立診斷,方能給予準確的治療,減少對病人造成的影響與傷害,改善其預後。

 

英文摘要

Acute inflammatory demyelinating polyneuropathy (AIDP) is the most common subtype of Guil-lain-Barre syndrome. If not promptly treated, it can lead to quadriplegia, permanent disability, and even respiratory failure requiring ventilatory support. The purpose of this case report is to investigate the process of differential diagnosis and treatment in patient with acute inflammatory demyelinating polyneuropathy caused by precursor infection. This case report describes a 40-year-old female Indo-nesian migrant worker who was admitted to the hospital due to generalized weakness and dysphagia. Upon admission, a series of clinical evaluations, including laboratory tests, imaging studies, and neu-rological examinations, ruled out central nervous system, cervical, neuromuscular, and autoimmune diseases. The final diagnosis of AIDP was confirmed through electrophysiological studies, cerebrospi-nal fluid (CSF) analysis, and clinical presentation. Due to the rapid progress of the disease, the patient developed respiratory failure and required ventilatory support. After discussion between the medical team and the patient’s family, treatments were initiated with plasma exchange and pharmacotherapy. Ultimately, she was successfully weaned off the ventilator. With intensive rehabilitation, her muscle strength returned to normal by the time of discharge. The clinical symptoms of AIDP are very similar to many other diseases. Therefore, accurate diagnosis requires a thorough patient history, imaging studies, lumbar puncture, and electrophysiological examinations. Timely and appropriate treatment can prevent irreversible nerve damage, minimize disease impact, and improve patient prognosis.

 

起訖頁 042-049
關鍵詞 性炎症性脫髓鞘性多發性神經病變類中風靜脈注射免疫球蛋白血漿置換術acute inflammatory demyelinating polyneuropathymimicking stroke ntravenous immunoglobu-linplasma exchange
刊名 台灣專科護理師學刊  
期數 202412 (11:2期)
出版單位 台灣專科護理師學會
該期刊-上一篇 一位31歲男性以肢體腫脹及血泡為表現
該期刊-下一篇 一位72歲男性以反覆心跳停止合併呼吸性酸中毒為表現之小細胞肺癌罕病經驗
 

新書閱讀



最新影音


優惠活動




讀者服務專線:+886-2-23756688 傳真:+886-2-23318496
地址:臺北市館前路28 號 7 樓 客服信箱
Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄