本文报道了3例临床诊断为格林—巴利综合征(GBS)的尸检材料。一例为周围神经炎性节段性脱髓鞘等典型的GBS病理改变,另外两例以运动神经特别是前根轴索变性(瓦勒样变性)为主要改变的周围神经病,作者认为这是GBS的一种新亚型,称之为急性运动轴索神经病。结合临床及病理改变特点,对GBS、脊髓灰质炎及急性运动轴索神经病鉴别要点进行了讨论。 In this paper, 3 cases of autopsy materials with GBS were clinically diagnosed. One case of peripheral nerve inflammation segmental demyelination and other typical GBS pathological changes, the other two cases of motor nerves, especially the anterior axonal degeneration (Vall-like degeneration) as the main change in peripheral neuropathy, the authors believe that this is GBS A new subtype, called acute motor axonal neuropathy. Combining clinical and pathological changes, the main points of GBS, poliomyelitis and acute motor axonal neuropathy were discussed.