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Laparoscopic Endoscopic Surgical Science Akut Solunum Yetmezliinin Nadir Bir Nedeni: Myastenik Kriz [Respir Case Rep]
Respir Case Rep. 2018; 7(1): 47-49 | DOI: 10.5505/respircase.2018.65902

Akut Solunum Yetmezliinin Nadir Bir Nedeni: Myastenik Kriz

Mehmet Erdem akmak1, Samet Er2, Derya Ademolu1, Hayriye Cankar Dal1, Sema Sar1, Bra Tezcan1, Dilek Kazanc1, Sema Turan1
1Trkiye Yksek htisas Hastanesi, Youn Bakm Anabilim Dal, Ankara
2Ankara Numune Eitim ve Aratrma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dal, Ankara

Miyastenia gravis, iskelet kaslarnda gszlk ve abuk yorulma ile karakterize bir kas hastaldr. Miyastenik hastalarda eitli nedenlerle miyastenik kriz geliebilir. Bu olgu sunumunda solunum sknts ile acil servise bavuran ve youn bakm yat gerektiren miyastenik krizli bir hasta ele alnmtr. zgemiinde, diabestes mellitus, hipertansiyon, koroner arter bypass grefti operasyonu ve miyastenia gravis nedeniyle timektomi yks vard. Hasta youn bakmda mekanik ventilatr desteinde izleme alnd. Hastada myastenik krize bal akut solunum yetmezlii dnld. Pridostigmin 120 mg 3x1 olarak ve 1 mg/kg/gn prednizolon baland. ntravenz immn globlin (IVIG) 2 gr/kg dozunda 5 gn sreyle verilmesi planland. Youn bakm yatnn 3. gnnde mekanik ventilatrden ayrld. Akut solunum yetmezliinin nadir bir nedeni olarak miyastenik krizli bu olguyu sunmay amaladk.

Anahtar Kelimeler: Akut solunum yetmezlii, miyastenia gravis, miyastenik kriz

A Rare Cause of Acute Respiratory Failure: Myasthenic Crisis

Mehmet Erdem akmak1, Samet Er2, Derya Ademolu1, Hayriye Cankar Dal1, Sema Sar1, Bra Tezcan1, Dilek Kazanc1, Sema Turan1
1Department of Intensive Care, Trkiye Yksek htisas Hospital, Ankara, Turkey
2Department of Anaesthesiology And Reanimation, Ankara Numune Training and Research Hospital, Ankara, Turkey

Myasthenia gravis is a muscle disorder characterized by weakness and rapid fatigue in the skeletal muscles. Myasthenic crisis can develop for various reasons. In this case report, a patient with respiratory distress and a myasthenic crisis who required urgent hospital admission and intensive care unit is described. He had a history of diabetes mellitus, hypertension, coronary artery bypass graft surgery, and a thymectomy due to myasthenia gravis. The patient required mechanical ventilator support in the intensive care unit as a result of acute respiratory failure due to myasthenic crisis. Pyridostigmine 120 mg 3x1 and 1 mg/kg/day prednisolone were administered. Intravenous immunoglobulin was given at a dose of 2 g/kg for 5 days. The patient was removed from the mechanical ventilator on the third day of the intensive care admission. This case is presented as myasthenic crisis as a rare cause of acute respiratory failure.

Keywords: Acute respiratory failure, myastenia gravis, myasthenic crisis

Mehmet Erdem akmak, Samet Er, Derya Ademolu, Hayriye Cankar Dal, Sema Sar, Bra Tezcan, Dilek Kazanc, Sema Turan. A Rare Cause of Acute Respiratory Failure: Myasthenic Crisis. Respir Case Rep. 2018; 7(1): 47-49

Sorumlu Yazar: Mehmet Erdem akmak, Trkiye
Makale Dili: Trke
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