Wheelchair economy class syndrome in amyotrophic lateral sclerosis
Wheelchair economy class syndrome in amyotrophic lateral sclerosis
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DOI：
10.1016/j.nmd.2005.12.006
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发表时间：
2006-03-01
影响因子：
2.8
通讯作者：
Hanafusa, T
中科院分区：
文献类型：
--
作者：
Kimura, F;Ishida, S;Hanafusa, T
一位坐在轮椅上的61岁糖尿病男性肌萎缩侧索硬化症(ALS)患者突发呼吸衰竭。低氧血症和低碳酸血症的特殊表现与ALS终末期出现的H型呼吸衰竭不相容。诊断为“经济级综合征”，有大量的肺动脉血栓形成和深静脉血栓形成。此病例对长期使用轮椅的人，特别是低氧血症的ALS患者，提供了关于可治疗的肺血栓栓塞症的风险的警告。(C)2006爱思唯尔B.V.保留所有权利。
A wheelchair-bound 61-year-old diabetic man with amyotrophic lateral sclerosis (ALS) developed sudden respiratory failure. Specific findings for hypoxemia and hypocapnia were incompatible with type H respiratory failure seen in the terminal stages of ALS. 'Economy class syndrome' was diagnosed, with massive thrombosis in the pulmonary arteries and deep vein thrombosis. This case offers a warning for long-term wheelchair Users, particularly hypoxemic ALS patients, regarding the risks of treatable pulmonary thromboembolism. (C) 2006 Elsevier B.V. All rights reserved.