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首页> 外文期刊>Jornal de Pediatria >Assessment of acute motor deficit in the pediatric emergency room ?￠????
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Assessment of acute motor deficit in the pediatric emergency room ?￠????

机译：评估小儿急诊室的急性运动功能障碍

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Abstract Objectives: This review article aimed to present a clinical approach, emphasizing the diagnostic investigation, to children and adolescents who present in the emergency room with acute-onset muscle weakness. Sources: A systematic search was performed in PubMed database during April and May 2017, using the following search terms in various combinations: ?￠????acute,?￠???? ?￠????weakness,?￠???? ?￠????motor deficit,?￠???? ?￠????flaccid paralysis,?￠???? ?￠????child,?￠???? ?￠????pediatric,?￠???? and ?￠????emergency?￠????. The articles chosen for this review were published over the past ten years, from 1997 through 2017. This study assessed the pediatric age range, from 0 to 18 years. Summary of the data: Acute motor deficit is a fairly common presentation in the pediatric emergency room. Patients may be categorized as having localized or diffuse motor impairment, and a precise description of clinical features is essential in order to allow a complete differential diagnosis. The two most common causes of acute flaccid paralysis in the pediatric emergency room are Guillain-Barr???? syndrome and transverse myelitis; notwithstanding, other etiologies should be considered, such as acute disseminated encephalomyelitis, infectious myelitis, myasthenia gravis, stroke, alternating hemiplegia of childhood, periodic paralyses, brainstem encephalitis, and functional muscle weakness. Algorithms for acute localized or diffuse weakness investigation in the emergency setting are also presented. Conclusions: The clinical skills to obtain a complete history and to perform a detailed physical examination are emphasized. An organized, logical, and stepwise diagnostic and therapeutic management is essential to eventually restore patient's well-being and full health.
机译：摘要目的：这篇综述文章旨在为在急诊室出现急性发作性肌无力的儿童和青少年提供一种临床方法，强调诊断研究。资料来源：2017年4月和5月，在PubMed数据库中进行了系统搜索，使用以下搜索词以各种组合方式进行搜索：??????? acute，???????? ？￠ ????弱点，？￠ ???? ？￠ ???运动不足，￠ ???? fla瘫瘫痪，￠ ？￠ ????孩子，？￠ ????儿科和“紧急情况”。本次综述选择的文章发表于过去十年，即1997年至2017年。该研究评估了0至18岁的儿童年龄范围。数据摘要：在小儿急诊室，急性运动功能障碍是相当普遍的表现。可以将患者归类为具有局限性或弥散性运动障碍，对临床特征的准确描述对于实现完整的鉴别诊断至关重要。小儿急诊室急性弛缓性麻痹的两个最常见原因是格林-巴尔（Guillain-Barr）？综合征和横贯性脊髓炎;尽管如此，仍应考虑其他病因，例如急性弥漫性脑脊髓炎，传染性脊髓炎，重症肌无力，中风，儿童交替性偏瘫，周期性麻痹，脑干脑炎和功能性肌无力。还提出了在紧急情况下进行急性局部或弥散性无力检查的算法。结论：强调获得完整病史和进行详细身体检查的临床技能。有组织的，合理的，逐步的诊断和治疗管理对于最终恢复患者的健康和全面健康至关重要。

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