格林-巴利综合征病因不明,临床以进行性对称性下运动神经元麻痹为特征。已证实,近三分之二的病人与急性病毒感染有关。1968年,Arnoson和Asburg曾报道6例继发于外科手术。此后,估计有5～10％的病人发生于手术后1～4周内。本文首次报告1例继发于冠脉旁搭桥术后的病例。患者男,65岁,因心绞痛于1985年2月1日行冠脉搭桥术。2月10日晚出现下肢无力和感觉异常,并迅速进展 The etiology of Guillain-Barre syndrome is unknown and clinical paralysis of motor neurons under progressive symmetry is characterized. Nearly two-thirds of the patients have been confirmed as having an acute viral infection. In 1968 Arnoson and Asburg reported 6 cases of secondary to surgery. Since then, an estimated 5 to 10% of patients develop within 1 to 4 weeks after surgery. This is the first report of a case of secondary to coronary artery bypass grafting. Male patient, 65 years old, due to angina on February 1, 1985 underwent coronary artery bypass surgery. Late Feb. 10, weakness and abnormality of the lower extremities appeared and progressed rapidly