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例1,男,27岁,患者于1966年春季因受凉感胃,1周后出现四肢乏力,逐渐加重到完全不能活动,并感四肢远端麻木、胀痛,2周后出现呼吸肌麻痹。当地医院诊断为格林-巴利综合征(GBS),予静滴氢考300mg/日半月,改强的松口服2周后停药,患者症状好转出院。出院后1月上述症状复发,且又一次出现呼吸肌麻痹,再次按GBS治疗3月出院。10年后病人因受深感冒再一次出现四肢无力,手足发麻,病情缓慢进展,1月后出现呼吸肌麻痹。查体:神清,双眼底视乳头边界不清、充血、生理凹陷消失。余颅神经(-)。四肢肌肉无萎缩,肌力近端Ⅰ~Ⅱ级,远端Ⅱ级,肌张力低,腱反射未引出,无病理反射。四肢远端呈手套袜样感觉减退,深感
Example 1, male, 27 years old, suffering from cold and stomach in the spring of 1966. After one week, his limbs became weak and gradually aggravate until completely unable to move. He felt numbness and tenderness in the distal extremities. Respiratory muscle paralysis occurred two weeks later. The local hospital diagnosed with Guillain-Barre syndrome (GBS), to test the hydrogen 300mg / day for a month, to improve the pineal oral medication after 2 weeks withdrawal, the patient improved symptoms discharged. January after discharge of the above symptoms recurrence, and again respiratory muscle paralysis, press again GBS treatment discharged in March. 10 years later, the patient suffered a deep cold again due to limb weakness, numbness of hands and feet, the condition of slow progress, respiratory muscle paralysis after January. Physical examination: God clear eyes unclear nipple border, congestion, physiological depression disappeared. I cranial nerve (-). No muscle atrophy limbs, muscle proximal Ⅰ ~ Ⅱ level, distal Ⅱ level, low muscle tone, tendon reflex did not lead to, no pathological reflex. Extremities were socks sock-like feeling of loss, deep feeling