重症肺炎并脓毒症性肌病1例及文献回顾

Severe pneumonia associated with sepsis-induced myopathy: one case report and literature review

回顾成功救治的1例脓毒症性肌病患者的临床资料,并结合相关文献进行分析。该患者为中年女性,无基础疾病,因发热,咳嗽,胸闷,气促入院,治疗期间反复出现Ⅱ型呼吸衰竭,脱机困难,最终诊断为脓毒症性肌病,予以抗感染、康复训练等治疗后撤机成功,肌力恢复。该病例提示脓毒症性肌病通过早期识别,及尽早给予神经肌肉营养药物治疗及分级康复训练、肺康复治疗,可达到完全治愈。

Clinical data of one patient with sepsis-induced myopathy(SIM) who was successfully treated were reviewed retrospectively,analysis was conducted combined with the relevant literatures. Patient was a middle-aged woman without underlying disease,she was admitted to hospital because of fever,cough,chest tightness and shortness of breath,during the treatment period,type II respiratory failure occurred repeatedly,and it was difficult in withdrawing respirator,patient was finally diagnosed with SIM. After anti-infective treatment and rehabilitation training,she was successfully withdrawn respirator,muscle strength was recovered. This case suggests that SIM can be completely cured through early identification,neuromuscular nutrition therapy,graded rehabilitation training and lung rehabilitation therapy.