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格林—巴利综合征(GBS)的复发较罕见,本文报告了二例,其GBS的复发都是伴发于流感疫苗接种之后。第一例为一29岁妇女,首次患病时,双腿感觉异常,双侧面肌无力及三头肌、髂腰肌、胫前肌严重无力,双手臂及小腿有手套-长袜型感觉丧失,正中、尺、腓总及胫后神经的运动神经传导速度不能测出,EMG显示远端肌群有失神经现象,脑脊液蛋白含量180mg%,其他化验正常,9个月完全痊愈。约在这5个月后,接种了一次流感疫苗,一周后,发现右手无力,2周余发展为两手脚麻木,双腿中度到重度无力,但3周后双腿肌力约50%恢复正常,而反射消失,小腿中部以下呈长袜型感觉丧失,右腓肠神经的神经传导研究结果无反应,
Recurrence of GBS is rare, and two cases are reported in this paper. The recurrence of GBS is associated with influenza vaccination. The first case was a 29-year-old woman with first sensation of ankle loss, bilateral weakness and weakness of the triceps, iliopsoas, and anterior tibialis muscles, gloves on both arms and lower leg - stocking sensation Loss of motor, median nerve, ulnar, peroneal and posterior tibial nerve motor nerve conduction velocity can not be detected, EMG showed that the distal muscle loss of nerve, cerebrospinal fluid protein content of 180mg%, other tests were normal, 9 months completely cured. About five months later, a flu vaccine was inoculated. A week later, he found his right hand weakness. After two weeks, he developed numbness on both hands and feet. His legs were moderate to severe and weak, but about 50% of their leg muscles returned to normal after 3 weeks. The reflex disappeared, below the lower leg was stockings loss of feeling, the right sural nerve nerve conduction research results no response,