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例1 男患,56岁。头昏,视物不清,前额胀痛伴呕吐6天。四肢麻木无力,进行性加重3天于1988年4月入院。病前2周有“上感”史。查体:T36.5℃,Bp17.3/10.6kPa.神清语利,双眼远视力左0.6,右0.5,右眼视网膜出血。四肢运端呈手袜套样浅感觉减退,四肢肌张力呈对称性减弱,腱反射消失,肌力Ⅱ～Ⅲ级,远端重于近端,无病理征和脑膜刺激征。血钾5.2mmol/L,脑压2.55kPa(侧卧)。脑脊液清,蛋白700mg/L,其余指标正常。拟诊:“特殊型格林巴利综合征”。经脱水激素、低分子右旋糖酐、维生素等治疗,第一周脑症状消失、二周视力正常,眼底出血吸收,四肢肌
Example 1 male patient, 56 years old. Dizziness, blurred vision, forehead pain with vomiting for 6 days. Limb numbness weakness, progressive aggravating 3 days in April 1988 admitted. 2 weeks before the illness, “the sense of” history. Physical examination: T36.5 ℃, Bp17.3 / 10.6kPa. God Qing language profits, eyes far vision left 0.6, right 0.5, right eye retinal hemorrhage. Limbs at the end of the hand was sock-like light feeling decreased, the symmetry of limb muscle tension weakened, the tendon reflex disappeared, muscle strength Ⅱ ~ Ⅲ level, the distal heavier than the proximal, no pathological signs and meningeal irritation. Potassium 5.2mmol / L, intracranial pressure 2.55kPa (side lying). Clear cerebrospinal fluid, protein 700mg / L, the remaining indicators of normal. To be diagnosed: “special type Guillain-Barre syndrome.” The dehydration hormones, low molecular weight dextran, vitamins and other treatment, the first week of brain symptoms disappeared, normal vision for two weeks, fundus bleeding, limb muscle