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急性感染性多发性神经炎为神经系统较常见疾病之一。常因累及呼吸肌,肺部感染造成死亡,少数死于心肌病变。合并呼吸肌麻痹的病人,以往虽经多种药物及人工辅助呼吸死亡率仍较高。本科过去7年中,共收治60例,呼吸肌受累者26例,其中死亡20例。1974年我科首次使用天津医疗器械二厂生产的 HQ-Z-l型人工呼吸器。全年收治急性感染性多发性神经炎成人16例,合井不同程度的咽麻痹,呼吸肌麻痹者4例,其中1例自主呼吸完全停止,1例呼吸近于停止,经用人工呼吸器及其他措施抢救,均恢复。现将两例经综合治疗并用人工呼吸器获救者报告如下:
Acute infectious polyneuritis is one of the more common diseases of the nervous system. Often due to involving the respiratory muscles, lung infection caused by death, a few died of myocardial lesions. In the past, patients with respiratory muscle paralysis had a higher mortality rate despite various medications and assisted resuscitation. Undergraduate over the past seven years, a total of 60 cases were treated, respiratory muscle involvement in 26 cases, of which 20 died. In 1974, our department first used HQ-Z-1 type artificial respirator manufactured by Tianjin Medical Device Factory. In the whole year, 16 cases of acute infectious polyneuritis were treated in adults, 4 cases of pharyngolaryngeal paralysis with different degrees of respiratory muscle paralysis, 1 case of spontaneous respiration completely stopped, 1 case of respiration was almost stopped, Other measures to rescue, are restored. Two cases of combined resuscitation and rescuer resuscitation are now reported as follows: