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格林—巴利氏综合征(G—B·S)老年发病较少,呼吸麻痹型重症更少,且并发多器官功能衰竭,经抢救成功予以报道。 男性,62岁,已婚。于1988年4月4日起出现双下肢肌无力,上升性袜套式麻木及弛缓性瘫痪和腰背部痛。9日出现吞咽呛咳、心率加快、血压升高达24/33.3kPa,排尿困难。病后经某医院治疗9天无效且病情恶化入我院。既往患慢性结肠炎,近一年来尚好。 体检:T35.6℃,P96次/分,R20次/分,BP20.5/13.3kPa。营养中等,神志清楚重病容,言语障碍。全身无黄染,浅在淋巴结不大。呼吸动度胸廓稍浅对称,两肺叩诊清音,可闻及干鸣。心界不大,心率96次/分,律齐,未听到病理性杂音。腹部检查无异常,脊柱正常。右上眼睑下垂左侧正
Guillain-Barré syndrome (G-B · S) less incidence of aging, less severe respiratory paralysis, and complicated by multiple organ failure, the successful rescue was reported. Male, 62 years old, married. On April 4, 1988, there appeared both lower extremity weakness, ascending hosiery numbness and flaccid paralysis and lower back pain. On the 9th appeared swallowing cough, heart rate, blood pressure up to 24 / 33.3kPa, dysuria. After a hospital for 9 days after treatment invalid and deterioration of the disease into our hospital. Past history of chronic colitis, the past year is still good. Physical examination: T35.6 ℃, P96 beats / min, R20 beats / min, BP20.5 / 13.3kPa. Moderately nutritious, conscious and serious illness, speech impairment. Body without yellow dye, light lymph nodes is not large. Respiratory motility slightly shallow symmetry of the thorax, two lungs percussion voiceless, can be heard and dry Ming. Heart, heart rate 96 beats / min, law Qi, have not heard pathological murmur. Abdominal examination was normal, normal spine. Right upper eyelid ptosis left positive