本文报导美国Virginia医学院1967～1974年67例原发性神经肌肉疾病并发呼吸衰竭60例的治疗。 32例急性感染性多发性神经炎并发呼吸衰竭,其中22例作气管切开和机械通气,2例死亡,1例由于心律不齐及心脏停搏,另1例由于机械呼吸器的接头脱落。这些患者半数以上有自主神经功能失调,表现为高血压、出汗、心动过速及尿闭等。大约不到半数患者并发肺炎及/或肺不张,虽然大多数已作气管切 This article reports the treatment of 67 cases of primary neuromuscular disease in 60 cases of respiratory failure in Virginia Medical College from 1967 to 1974. Thirty-two patients with acute infectious polyneuritis complicated with respiratory failure were included. Twenty-two of them were tracheotomized and mechanically ventilated. Two died, one was due to arrhythmia and cardiac arrest, and the other was extirpated by the mechanical ventilator. More than half of these patients have autonomic dysfunction, manifested as high blood pressure, sweating, tachycardia and urinary closure. About less than half of patients have pneumonia and / or atelectasis, although most have tracheotomy