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目的探讨吉兰 -巴雷综合征 ( GBS)自主神经损害与病死率之关系。方法对 12 0例患者的临床资料进行回顾性分析。结果有自主神经损组害组死亡 14例 ,无自主神经损害组死亡 1例 ,两组比较 ,有显著性差异。结论自主神经损害发生率 ( 5 4% )低于国外 ,且国内各地也有差别 ;2 0岁以下者自主神经损害多见 ,是我国 GBS的一个特点。有自主神经损害组病死率高 ,尤其是心血管系统合并其它部位自主神经损害 ,病死率更高。
Objective To investigate the relationship between autonomic nerve damage and mortality in Guillain-Barre syndrome (GBS). Methods The clinical data of 120 patients were retrospectively analyzed. Results There were 14 cases of autonomic nerve damage and 1 case of death without autonomic nerve injury. There were significant differences between the two groups. Conclusions The incidence of autonomic nerve injury (54%) is lower than that of other countries and varies from place to place. Autonomic nerve damage is common in patients under 20 years of age and is a feature of GBS in our country. A group of patients with autonomic nerve injury has a high case fatality rate, especially autonomic nerve damage in other parts of the cardiovascular system, with a higher case fatality rate.