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重症肌无力围手术期各种危象的观察与护理
引用本文:陈燕春,陈群清,等. 重症肌无力围手术期各种危象的观察与护理[J]. 护理学报, 2001, 8(2): 32-33
作者姓名:陈燕春  陈群清  
作者单位:[1]中国人民解放军第421医院门诊部,广东广州510318 [2]第一
摘    要:观察35例重症肌无力患围手术期发生肌无力危象及胆碱能危象的特点,分析其外科治疗及护理的近期效果。结果本组MG患的临床完全缓解率为45.7%,死亡2例,与危象的发生无关,再住院率为5.7%,发生肌无力危象7例,胆碱能危象1例,危象总发生率为22.95,经过恰当的救治及护理,危象均全部纠正。说明加强对围手术期各种危象发生的认识,可提高各种危象救治的护理质量。MG发生危象的防治效果离不开规范、精心的围手术期护理。

关 键 词:重症肌无力 肌无力危象 胆碱能危象 护理
文章编号:1008-9966(2001)02-0032-02
修稿时间:2000-10-27

Observing and nursing myathenia crisis and cholinergic crisis in peri-operative period
CHEN Yan-chun ,CHEN Qun-qing ,ZHANG Xiao-hong. Observing and nursing myathenia crisis and cholinergic crisis in peri-operative period[J]. Journal of Nursing, 2001, 8(2): 32-33
Authors:CHEN Yan-chun   CHEN Qun-qing   ZHANG Xiao-hong
Affiliation:CHEN Yan-chun 1,CHEN Qun-qing 2,ZHANG Xiao-hong 3
Abstract:To observe and nurse myathenia crisis and cholinergic crisis in peri-operative period.The occurrence of myasthenia crisis and cholinergic crises to myasthenia gravis (MG) patients at the peri-operative period in 35 cases was observed and surgical treatment and nursing effects were analyzed. A clinic complete remission rate in MG patients reached 45.7%, readmission rate 5.7%, 2 dead but not corresponding to the occurrence of crises. A general incidence rate of crises was observed to be 22.9%. The total 7 myasthenia crises and 1 cholinergic crisis were corrected with proper treatment and nursing care. It is realized that enhanced knowledge about various crises can improve the nursing quality and standard nursing in peri-operative period is imperative to the prevention of the crises.
Keywords:myasthenia gravis  myasthenia crisis  cholinergic crisis
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