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应用激素治疗格林—巴利氏综合征(GBS),急性横贯性脊髓炎(ATM)及多发性硬化(MS)的效果如何,至今尚有争论,作者遇到1例MS患者症状急剧加重,以往口服激素有效.但此次发病有剧烈呕吐和明显的脑干症状而不能口服药物.作者自静脉给以大量激素,患者症状很快缓解,此例使作者得到启发,以后即选择一些病人自静脉给大量激素来治疗GBS, ATM, 及MS,得到满意的效果.以下各报告一典型病例.一、GBS,病人男性,37岁、司机,入院前两周曾患咽痛,前1周手脚发麻,前3天全身无力,入院当天已不能站立和走路,并感呼吸困难,入院检查发现双侧面瘫,四肢力弱,近端明显,深反射丧失、无感觉障碍,脑脊液正常.
There are controversies about the effect of steroid therapy on GBS, acute traumatic myelitis (ATM) and multiple sclerosis (MS). The author encountered a sharp increase in the symptoms of MS patients. In the past, Oral hormones effective, but the incidence of severe vomiting and obvious symptoms of brain stem can not be oral drugs. Authors given a large number of hormones from the patient, the patient’s symptoms ease quickly, this case inspired the author, then choose some patients from the veins A large number of hormones to treat GBS, ATM, and MS, to obtain satisfactory results. The following reports each a typical case. First, GBS, male patient, 37 years old, driver, had sore throat two weeks before admission, Ma, the first 3 days of general weakness, the day of admission can no longer stand and walk, and feel dyspnea, admission examination found bilateral facial paralysis, weak limbs, proximal obvious loss of deep reflex, no sensory disturbances, normal cerebrospinal fluid.