双侧甲状腺切除加双侧颈部淋巴结清扫术后引发吉兰-巴雷综合征一例报告并文献复习  

Guillain- Barré Syndrome in a Patient after Bilateral Thyroidectomy plus Bilateral Cervical Lymph Node Dissection:One Case Report and Literature Review

作　　者：赵红[1] 王苏平[1] 宋品[1] 李莉[2] 刘赞华[1] 李淑敏[1] 

机构地区：[1]大连医科大学附属大连市中心医院神经内科,辽宁省大连市116033 [2]大连医科大学附属大连市中心医院康复科,辽宁省大连市116033

出　　处：《中国全科医学》2015年第7期850-852,共3页Chinese General Practice

摘　　要：双侧甲状腺切除加双侧颈部淋巴结清扫术后并发吉兰-巴雷综合征(Guillain-Barrésyndrome,GBS)的病例在临床上较为少见,且GBS发病早期易被漏诊。本文报道了1例甲状腺癌伴甲状旁腺腺瘤患者,行双侧甲状腺切除加双侧颈部淋巴结清扫术后并发GBS的临床诊治经过,并复习相关文献。提示外科手术可以为GBS的诱因,临床医生应警惕术后GBS的发生,避免漏诊和误诊。Guillain- Barré syndrome（ GBS） is clinically rare as a postoperative complication occurs after bilateral thyroidectomy plus bilateral cervical lymph node dissection, and missed diagnosis often occurs at its early stage. The article presents the diagnosis and treatment of GBS as postoperative complication in a patient with thyroid cancer concurrent with parathyroid tumor after bilateral thyroidectomy plus bilateral cervical lymph node dissection. The relevant literature is also reviewed. Surgical operations could induce GBS. More attention should be paid to the diagnosis and treatment of postoperative GBS,preventing its missed diagnosis and misdiagnosis.

关 键 词：吉兰-巴雷综合征 手术后并发症 甲状腺疾病 

分 类 号：R745.44[医药卫生—神经病学与精神病学]