94例极重型格林-巴利综合征抢救体会

目的 探讨影响极重型格林-巴利综合征(GBS)抢救成功的因素。方法 予气管插管或气管切开、辅助呼吸及鼻饲，采用激素及综合冶疗，并预防和处理并发症。结果 治愈28例，显效11例，死亡55例。结论 极重型GBS抢救成功的关键是尽早气管插管或气管切开并予辅助呼吸，以保持呼吸道通畅和改善心脑缺氧，同时应对患者进行心电和血气监护。另外，应积极预防和处理气管切开后的并发症。而大剂量地塞米松治疗不可取。

Experience in treating 94 patients with the most dangerous GBS

Objective To discuss the successful factor of rescuring the most dangerous GBS. Methods 94 patients with the dangerous GBS were rescured by tracheotomy or tracheal intubation, nasal feeding, hormane and comprehensive therapy. It was noticed that precaution and treatment of the complications. Results Of 94 segments, 28 were cured, 11 were improved, 55 had been dead.Conclusions To keep the pneogaster from obstructing and improve the cerebral and cardial anoxia, tracheotomy or tracheal intubation in early stages and assisted respiration quickly are the key in rescue the most dangerous GBS. Electrocardiographic and blood gas monitoring are adopted prevention and treatment of complications during and after tracheotomy are emphasized. A great deal of dexamethason should be avoided using in treatment. [