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格林——巴利综合征(GBS)中大约20~25%的病人需要辅助呼吸治疗,在严重病例影响呼吸活动,通常是用气管切开和机械呼吸进行治疗.作者报告了三例4~16岁的患者,临床均表现四肢进行性乏力,伴有呼吸活动减弱,及有些颅神经障碍,在起病后4~5天应用通过鼻腔作气管内插管术,而使用附薄膜泡囊的插管,或无泡囊的5毫米气管插管,结合机械呼吸.二例患者由于呼吸改善而在10~12天时拔去插管,一例患者由于在插管2周后呼吸仍未改善,而改用气管切开术.作者指出:大多数文献认为GBS病人的呼吸衰竭需要辅助呼吸长达几周或几个月的时限未必真
About 20-25% of patients with GBS require adjuvant respiratory therapy and in severe cases respiratory activity is usually treated with tracheostomy and mechanical respiration. The authors reported three cases of 4-16 Year-old patients, clinical manifestations of limb weakness, accompanied by decreased respiratory activity, and some cranial nerve disorders, 4 to 5 days after onset of application through the nasal endotracheal intubation, and the use of thin film vesicles inserted Tube, or vesicle-free 5 mm endotracheal intubation combined with mechanical respiration. Two patients had their intubation removed 10 to 12 days due to improved respiration, and one patient did not improve on respiration after 2 weeks of intubation By tracheotomy, the authors point out that most of the literature does not necessarily suggest that respiratory failure in GBS patients require assisted breathing for weeks or months