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作 者:杨靖波[1,2] 白生亮(综述) 刘懿禾(审校) YANG Jingbo;BAI Shengliang;LIU Yihe(TICU,Organ Transplant Center,TianJin First Central Hospital,Tianjin 300192,China;ICU,Hotan District People’s Hospital,Xinjiang 848000,China)
机构地区:[1]天津市第一中心医院器官移植中心移植ICU,天津300192 [2]新疆和田地区人民医院重症医学科
出 处:《肾脏病与透析肾移植杂志》2021年第3期289-293,共5页Chinese Journal of Nephrology,Dialysis & Transplantation
摘 要:危重症多神经肌病(critical illness polyneuromyopathy, CINM)的特点是运动神经纤维及感觉神经纤维的原发性轴突变性,以及由于去神经支配而造成的骨骼肌变性。因其发病机制不明确,在临床上容易被忽视,给预防及治疗带来一定的困难。CINM在移植领域鲜有报道,本文综述了肾移植受者CINM的高危因素、可能的发病机制及预防与治疗。Critical illness polyneuromyopathy(CINM),characterized by primary axonal degeneration of motor nerve fibers and sensory nerve fibers,as well as skeletal muscle degeneration caused by denervation,has rarely been reported in the field of transplantation,and because its pathogenesis is unclear,it is easy to be ignored in clinical practice,which brings some difficulties in prevention and treatment.The high-risk factors,pathogenesis,prevention and treatment of CINM in renal transplant recipient were reviewed.
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