摘要
重症肌无力(MG)临床分型在指导MG患者的诊断、治疗、预后等方面具有重要作用。为此,临床医师一直在积极探索其分型方法,目前已出现数种MG分型系统,如经典的Osserman分型、美国重症肌无力基金会分型及近年来出现的以免疫学为基础的多维度分型系统等。同时,MG分型在外科领域也有重要作用,其常作为预测术后MG危象的重要指标,从而大大降低了围术期病死率。但目前各分型在临床应用方面还存在一定的不足,故未来需继续探索对MG的诊断、治疗具有指导意义的分型。
The clinical classification of myasthenia gravis(MG)plays a very important role in guiding the diagnosis,treatment and prognosis of MG patients.For this reason,clinicians have been actively exploring their typing methods.At present,there are several MG typing systems,such as the classic Osserman classification,the American myasthenia gravis foundation classification,and immunology based multidimensional typing system in recent years.At the same time,MG typing also plays an important role in the field of surgery.It is often used as an important index to predict postoperative MG crisis,which greatly reduces perioperative mortality.But at present,there are still some shortcomings in terms of clinical application of each classification,so we need to continue to explore the guiding significance of the diagnosis and treatment of MG in the future.
作者
李荣耀
王亨强
盛峰喜
张文强
李丰科
黄壮士
LI Rongyao;WANG Hengqiang;SHENG Fengxi;ZHANG Wenqiang;LI Fengke;HUANG Zhuangshi(Department of Thoracic Surgery,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)
出处
《医学综述》
2018年第6期1139-1143,共5页
Medical Recapitulate
关键词
重症肌无力
临床分型
肌无力危象
预后
Myasthenia gravis
Clinical classification
Myasthenic crisis
Prognosis
