1　病历报告患者男性 ,37岁 ,2周前曾有上呼吸道感染病史。 1周前自觉膝软 ,双下肢无力 ,站立不稳 ,上述症状逐渐加重 ,并于5 d前出现复视 ,手足麻木 ,拟诊“格林—巴利综合征”。给予青霉素 ,激素、及胞二磷胆碱治疗 3d,症状不见好转。查体 :神清 ,双瞳孔等大正园 ,直径 3.5 m 1 medical records of patients male, 37 years old, had a history of upper respiratory tract infection two weeks ago. A week ago consciously knee soft, weakness of both lower extremities, standing instability, the symptoms gradually aggravated, and in 5 d before diplopia, numbness of hands and feet, to be diagnosed “Guillain-Barre syndrome.” Given penicillin, hormones, and citicoline treatment 3d, the symptoms did not improve. Examination: Shenqing, double pupil and other large Park, diameter 3.5 m