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目的探讨小儿格林-巴利综合征的临床特点及预后。方法分析78例小儿格林-巴利综合征的临床表现、辅助检查、治疗及预后。结果小儿格林-巴利综合征的临床表现主要有前驱感染史,四肢对称性弛缓性瘫痪,可有颅神经受累,感觉障碍轻或没有,单时相病程,易并发呼吸肌麻痹,病后10~14d多数患者脑脊液化验有蛋白-细胞分离现象,预后多取决于有无并发症及并发症的严重程度。结论本病诊断主要依靠临床特点,早期识别、及时治疗非常关键。
Objective To investigate the clinical features and prognosis of children with Guillain-Barre syndrome. Methods 78 cases of children with Guillain-Barre syndrome clinical manifestations, auxiliary examination, treatment and prognosis. Results The clinical manifestations of children with Guillain-Barre syndrome mainly include prodromal infection, flaccid symmetry of limbs, paralysis of cranial nerves, mild or no sensory disturbances, single-phase disease course, complicated with respiratory muscle paralysis, 10 ~ 14d Most patients with cerebrospinal fluid protein-cell separation test, the prognosis depends on the presence of more complications and the severity of the complications. Conclusion The diagnosis of this disease depends mainly on clinical features, early identification, timely treatment is critical.