格林-巴利综合征70例临床分析  

Analysis of 70 patients with Guillain-Barre syndrome

作　　者：路屹[1] 刘晓林[1] 吴国林[1] 孙荣[1] 

机构地区：[1]蚌埠医学院附属医院神经内科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2003年第2期133-134,共2页Journal of Bengbu Medical College

摘　　要：目的 :探讨小儿及成人格林 -巴利综合征 (GBS)的临床特点。方法 :对 70例住院患者进行回顾性分析。结果 :小儿GBS临床表现较轻 ,早期肌萎缩较少见 ,常以双下肢无力起病。成人常以复视伴颅神经障碍起病 ,病情相对较重。GBS合并植物神经功能障碍表现以窦性心动过速为常见 ,更多见于小儿 ;肝功能损害多见于成人。结论 :了解小儿与成人GBS的特点 ,有助于临床医师的正确诊断和治疗。肝功能损害与存在植物神经功能障碍、早期肌萎缩一起 ,可作为判断病情轻重的参考 ,尤对于成人。Objective:To discuss the clinic features of Guillain Barre syndrome(GBS) in children and adults.Methods:Seventy patients with GBS were analyzed retrospectively.Results:The clinical manifestations of children were not always severe and early myoatrophy was rarely seen.The initial symptoms of weakness of both of the lower extremities were more frequently seen in children,while diplopia with cranial nerves paralysis were often found in the adult.The symptoms in the adult were more severe.Sinus tachycardia was the main aspect of autonomic dysfunction in GBS,particularly in children.Hepatic dysfunction was more frequently seen in the adult.Conclusions:It helps to diagnosis and treatment of GBS correctly,knowing the clinical features of children and adults.Hepatic dysfunction,autonomic dysfunction corresponding with early myoatrophy were the reference to identify the degree of illness,especially for the adult.

关 键 词：多神经炎 GUILLAIN-BARRE综合征 神经系统疾病 诊断 

分 类 号：R745.43[医药卫生—神经病学与精神病学]