论文部分内容阅读
目的分析吉兰-巴雷综合征(GBS)的误诊原因,提高首诊正确率。方法回顾性分析郑州大学第一附属医院及安阳地区医院收治的123例GBS误诊病例,从首发症状、误诊情况、辅助检查、治疗等方面进行总结。结果误诊为神经内科其他疾病者90例,误诊为骨科疾病者8例,误诊为心内科、消化科、风湿科等内科疾病者25例。经营养神经、免疫调节治疗,104例痊愈,16例好转,痊愈率84.5%。结论 GBS首发症状多样,首诊易误诊其他疾病,应密切观察病情变化,尽早完善相关检查,及时会诊,合理治疗,预后良好。
Objective To analyze the causes of misdiagnosis of Guillain-Barre syndrome (GBS) and to improve the accuracy of first diagnosis. Methods A retrospective analysis of 123 cases of GBS misdiagnosed cases admitted to the First Affiliated Hospital of Zhengzhou University and Anyang Regional Hospital was made and summarized from the aspects of first symptom, misdiagnosis, auxiliary examination and treatment. The results were misdiagnosed as 90 cases of other neurological diseases, misdiagnosed as 8 cases of orthopedic diseases, misdiagnosed as cardiology, gastroenterology, rheumatology and other medical diseases in 25 cases. Nourishing the nerves, immunomodulatory therapy, 104 cases recovered, 16 cases improved, the cure rate was 84.5%. Conclusions The first symptom of GBS is diverse, the first diagnosis is easy to misdiagnosis of other diseases, and the changes of the disease should be closely observed. Relevant examination should be perfected as soon as possible, timely consultation, reasonable treatment and good prognosis.