论文部分内容阅读
本文报告1965年1月至1975年12月间100例儿童急性多神经根神经炎(PRN)的临床,演进特点,以及在急性期能预测预后的因素.100例患儿分类如下:(一)格林-巴利综合征(SGB)84例,临床表现与通常的SGB相当.其中有24例特别类型,计①共济失调型10例,系纯粹近端性中等度运动缺损所致假性共济失调;②假性肌病型6例;③仅颅神经受累2例;④1例有双侧Babinski征,4例双视乳头模糊,1例有脑炎征象.(二)非典型急性PRNl6例,其中:①9例有脑脊液蛋白及细胞包数增多;②2例数次脑脊液蛋白均保持正常;③5例复发性PRN,4例在痊愈后及1例后遗震颤之后1-9年又复发.16例除以上特点外,其它表现均与SGB一致.100例中85例追踪其演进,末次检查在病后1-11年,平均5年.被判断为痊愈的儿童系指末次检查
This article reports the clinical and evolutional characteristics of 100 children with acute multiraman neuritis (PRN) from January 1965 to December 1975 and the factors that predict prognosis in the acute phase.100 children are classified as follows: In 84 patients with Guillain-Barre syndrome (SGB), the clinical manifestations were comparable to those of the normal SGB, of which 24 were of special type, accounting for 10 cases of ataxia and were caused by purely proximal moderately motor impairment (2) Atypical acute PRN16 cases (6 cases), 2 cases of cranial nerve involvement (1 case), 2 cases of Babinski sign (4 cases), 2 cases of binocular nipple obstruction , Of which: ① 9 cases of cerebrospinal fluid protein and cell number increased; ② 2 cases of cerebrospinal fluid protein remained normal; ③ 5 cases of recurrent PRN, 4 cases after recovery and 1 case of post-tremor recurrence 1-9 years after recurrence.16 In addition to these characteristics, the other performance are consistent with the SGB.Of the 85 cases of 100 cases to track its evolution, the last check in the 1-11 years after the disease, an average of 5 years.The child was judged to be cured at the last inspection