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23例复发型吉兰-巴雷综合征的临床分析
引用本文:张骥,吴晓牧,谢旭芳,屈新辉,张昆南. 23例复发型吉兰-巴雷综合征的临床分析[J]. 江西医药, 2014, 0(12): 1375-1377
作者姓名:张骥  吴晓牧  谢旭芳  屈新辉  张昆南
作者单位:江西省人民医院神经内科,南昌330006
摘    要:目的:探讨复发型吉兰-巴雷综合征(RGBS)的临床特点。方法回顾我院收治的23例复发型GBS患者,分析初发和复发时的诱发因素、临床表现、脑脊液检查、电生理检查、治疗资料。结果84%的患者发作有前驱感染史,重症患者比例比初发高(初发组60.%,复发组81.5%),脑脊液蛋白-细胞分离、电生理异常率增加。结论 RGBS与经典GBS临床症状相似,感染是重要诱因,反复发作症状逐渐加重。

关 键 词:吉兰-巴雷综合征  复发  临床特征

The analysis of clinical features in 23 patients with recurrent Guillain-Barre syndrome
Affiliation:ZHANG Ji, WU Xiaomu,XIE Xu- fang,et al. (Department of Neurology,Jiangxi Provincial People's Hospital,Jiangxi Province Institute of Neurology,Nanchang 330006, China)
Abstract:Objective To evaluate clinical features in patients with recurrent Guillain-Barre syndrome (RGBS). Methods we evaluate causative factor,clinical manifestation,examination of cerebrospinal fluid (CSF),neurophysiology study and treatment of 23 patients with RGBS. Results There was infections before the onset(84%),the proportion of critical patients of RGBS group was higher than that of the initial group (81.5% vs 60.9%),albuminocytologic dissociation in CSF,electrophysiological abnormality in RGBS. Conclusion The clinical features of RGBS is similar to classical GBS,infectious factors play an important role,Recurrent symptoms aggravate gradually.
Keywords:Guillain-Barre syndrome  recurrent  Clinical features
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