問題詳情

23.重症病人常容易併發critical illness polyneuropathy(CIP)或critical illness myopathy(CIM)。下列敘述何者正確?
(A)CIM的發生與使用類固醇無關
(B)CIM最常見的組織病理變化為myosin loss
(C)CIP常常會影響到顱神經(cranial nerve)
(D)在急性呼吸窘迫症候群的病人不應使用神經阻斷藥物,因其極容易造成CIP及CIM

參考答案

答案:B
難度:適中0.5
統計:A(0),B(0),C(0),D(0),E(0)

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o孟o】評論

(A)Risk factors for developing this myopathy includeuse of corticosteroids (likely dose-dependent); use of paralyticagents; hyperglycemia; hyperthyroidism; and possibly systemicinflammatory response syndrome, with or without sepsis.(C)取自:Egan's Fundamentals of Respiratory CareIn contrast to critical illness myopathy, discussed previously,ncritical illness polyneuropathy is associated almost entirelynwith severe sepsis in the ICU. Patients develop muscle weaknessnand atrophy, loss of deep tendon reflexes, and loss of peripheralnsensation to pinprick and touch. Cranial nerve function isnusu...