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格林-巴利综合片(Gaillain-Barre Syndrome以下称GBS)即急性感染性多发性神经很神经炎,为一常见的神经科疾病。按照美国Asbury等提出的诊断标准,简要归纳为:(1)有进行性一个肢体以上的运动瘫痪,其程度可以从腿的轻度肌无力直至严重的四肢、躯干肌瘫痪,延髓肌、面肌和眼外肌麻痹等。四肢腱反射低下或消失;(2)有轻度的感觉症状和体征;(3)颅神经损害多以两侧面神经及舌下、舌咽神经麻痹为多见;(4)可有植物神经功能损害;(5)脑脊液中蛋白质含量增高(在起病后一周出现),而单核白细胞在10只/mm~3左右,称为“蛋白-细胞分离”现象;(6)80%的病例在发病期有神经传导速度障碍,运动神经传导速度低于正常人的60%,远端潜伏期延长至正常人的3倍。但如有:(1)明显的、
Galelain-Barre Syndrome (hereinafter GBS) is an acute infectious polyneuritis, a common neurological disease. According to the diagnostic criteria proposed by Asbury et al. In the United States, a brief summary is made as follows: (1) There is progressive paralysis of one or more limbs, which can range from mild myasthenia gravis to severe limbs, trunk muscle weakness, bulbar muscle, And extraocular muscle paralysis and so on. Limb tendon reflexes low or disappear; (2) mild symptoms and signs; (3) cranial nerve damage to both sides of the facial nerve and sublingual glossopharyngeal nerve paralysis is more common; (4) may have autonomic function (5) increased protein content in cerebrospinal fluid (one week after onset), while mononuclear leukocytes are present at about 10 / mm ~ 3, a phenomenon known as “protein-cell detachment”; (6) 80% During the onset of nerve conduction velocity disorders, motor nerve conduction velocity is lower than 60% of normal people, remote latency extended to normal 3 times. But if: (1) obvious,