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一名33岁的妇女在怀孕29周时因四肢对称性进行性上行性无力和呼吸窘迫住院。根据临床体征、脑脊液检查和电生理学检查诊断为格林-巴利综合征(GBS)。大剂量静脉内注射免疫球蛋白(0.4g/kg/日,共5天),症状无改善,开始血浆置换,4个月后病情逐渐缓解。有近期巨细胞病毒(CMV)感染的血清学证据,血清IgM神经节苷酯GMI抗体强阳性,IgG神经节苷酯GMI、GM2和GQ1b抗体阴性。通过记录老鼠的量
A 33-year-old woman hospitalized at 29 weeks of pregnancy because of her limb symmetry was sexually ascending weakness and respiratory distress. According to clinical signs, cerebrospinal fluid examination and electrophysiological examination diagnosed as Guillain-Barre syndrome (GBS). High-dose intravenous immunoglobulin (0.4g / kg / day, a total of 5 days), no improvement in symptoms, plasma exchange began, after 4 months the disease gradually eased. Serological evidence of recent CMV infections is strongly positive for serum IgM ganglioside GMI antibodies and IgG ganglioside GMI, GM2 and GQ1b antibodies are negative. By recording the amount of rats