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目的:探讨危重病性多发性周围神经病(CIP)的临床特点。方法:回顾分析收治的1例CIP患者的临床表现及电生理特点,结合国外文献复习、总结CIP的特点。结果:CIP是一种急性起病,以对称性运动感觉神经轴索损害为主的CIP,常累及呼吸肌导致呼吸机脱机困难。CIP多发生于重症患者,与败血症和全身炎症反应综合征有关,其电生理特点为广泛而对称的运动感觉神经轴索损害。结论:电生理诊断是CIP诊断的重要依据,但临床上从症状学早期识别此病尤为关键。
Objective: To investigate the clinical features of critically ill multiple peripheral neuropathy (CIP). Methods: A retrospective analysis of 1 cases of CIP patients treated with clinical manifestations and electrophysiological characteristics, combined with foreign literature review, summarize the characteristics of CIP. Results: CIP was an acute onset of CIP that predominantly impaired axonal symmetry of sensory motor axons, often involving the respiratory muscles and resulting in difficulty in taking the ventilator offline. CIP occurred in critically ill patients, and sepsis and systemic inflammatory response syndrome, the electrophysiological characteristics of a broad and symmetrical motor sensory axonal damage. Conclusion: Electrophysiological diagnosis is an important basis for the diagnosis of CIP. However, it is particularly clinically important to identify the disease early from the symptomology.