94例极重型格林—巴利综合征抢救体会  

Experience in treating 94 patients with the most dangerous GBS

作　　者：张郁文[1] 吴国林[1] 路屹[1] 刘长文[1] 王海燕[1] 

机构地区：[1]蚌埠医学院附属医院,233004

出　　处：《中国急救医学》2001年第1期26-27,共2页Chinese Journal of Critical Care Medicine

摘　　要：目的　探讨影响极重型格林—巴利综合征 (GBS)抢救成功的因素。方法　予气管插管或气管切开、辅助呼吸及鼻饲 ,采用激素及综合治疗 ,并预防和处理并发症。结果　治愈 2 8例 ,显效 11例 ,死亡 5 5例。结论　极重型GBS抢救成功的关键是尽早气管插管或气管切开并予辅助呼吸 ,以保持呼吸道通畅和改善心脑缺氧 ,同时应对患者进行心电和血气监护。另外 ,应积极预防和处理气管切开后的并发症。Objective To discuss the successful factor of rescuring the most dangerous GBS. Methods 94 patients with the dangerous GBS were rescured by tracheotomy or tracheal intubation, nasal feeding, hormane and comprehensive therapy. It was noticed that precaution and treatment of the complications. Results Of 94 segments, 28 were cured, 11 were improved, 55 had been dead.Conclusions To keep the pneogaster from obstructing and improve the cerebral and cardial anoxia, tracheotomy or tracheal intubation in early stages and assisted respiration quickly are the key in rescue the most dangerous GBS. Electrocardiographic and blood gas monitoring are adopted prevention and treatment of complications during and after tracheotomy are emphasized. A great deal of dexamethason should be avoided using in treatment. [

关 键 词：格林-巴利综合征 

分 类 号：R745.43[医药卫生—神经病学与精神病学]