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81年11月呼市格林—巴利氏综合症一例因呼吸肌麻痹,气管切开应用呼吸机维持呼吸173天,抢救成功,现报告如下:患者申××,女性,23岁,工人。住院号199566,于81年13/11晚感四肢麻木。14/11晨起四肢无力,来我院就诊,疑“关节炎”,给布洛芬日服无效。病情逐渐加重,15/11晨已不能行走,说不出声、胸蹩、呼气费力,当日早来急诊,以格林—巴利氏综合症收入院。病前无感冒、发烧、受凉及腹泻。也无劳累,暴食。既往无类似发作。入院检查:血压110/80,体温36.6℃,心率82次/分,呼吸20次/分。神清,不能发音,口唇及四肢稍发绀。双瞳等大等园,对光反应(+)。眼球活动自如。眼底正常。双额纹及双鼻唇沟浅。双眼闭合无力,鼓腮示齿困难,张口无力,咀嚼力弱,不能吞咽,咽反射弱。抬头、耸肩无力。双上
81 November Hohhot Greene-Barre syndrome A case of paralysis due to respiratory muscles, tracheostomy use of ventilator to maintain breathing 173 days, the rescue was successful, are as follows: patients Shen × ×, women, 23 years old, workers. Hospital No. 199566, 31/11 night feeling numbness of the limbs. 14/11 Morning limb weakness, to our hospital for treatment, suspected “arthritis”, to ibuprofen Japanese service invalid. The condition gradually aggravated, 15/11 morning has been unable to walk, speechless, chest cramps, exhaled effort, early morning emergency to Green - Barry Syndrome income hospital. No cold, fever, cold and diarrhea. No tired, gluttony. No previous episodes. Admission examination: blood pressure 110/80, body temperature 36.6 ℃, heart rate 82 beats / min, breathing 20 beats / min. Clear, can not pronounce, lips and limbs slightly cyanosis. Double pupil and other large garden, light response (+). Eyeball activities freely. Fundus normal. Double forehead and double nasolabial fold shallow. Eyes closed weakness, drum cheek tooth shows difficulties, mouth weakness, weak chewing force, can not swallow, pharyngeal reflex weak. Looked up, shrugging weakness. Double on