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格林—巴利综合征合并颅压增高的临床报告较少。现将我科遇到的1例病例报告如下。赵焕英,女,18岁,于1989年8月2日患感冒,体温37.8℃,双下肢无力。2天后双下肢不能行走,4天后双上肢亦出现无力,感觉如常,饮食尚可,二便正常。病后第5天入院。入院查体:T36.8℃,P75次/分,R20次/分,BP16.0/1O.6kPa。神清,两肺呼吸音粗。心率75次/分,心律规整,未闻及异常心音及杂音。颅神经未见异常,双上肢肌力Ⅳ级,双下肢肌力0～1级,四肢肌张力低,深浅感觉存在,四肢腱反射消失,病理征阴性,颈无抵抗,kernig氏征阴性。辅助检查:血WBC 8.0×10~9/L,N62％、L38％,血K~(+)4.3mmol/L、Na~(+)134mmol/L、Cl~(-)100mmol/L。诊断为格林一巴利综合征。入院后应用激素、抗菌素、抗病毒药、神经营养药物治疗。病后第6天,四肢无力加重、呼吸困难。查体:胸式呼吸减弱,两肺呼吸音粗。双上肢肌力Ⅱ级,双下肢肌力0级。腰穿:脑脊液压力1.87kPa,外观无色透明,常规生化化验正常。至第8
Guillain-Barre syndrome associated with increased intracranial pressure clinical report less. Now we encounter 1 case report is as follows. Zhao Huan-ying, female, 18 years old, had a cold on August 2, 1989, with a body temperature of 37.8 ° C, and her lower extremity weakness. Two days after the lower limbs can not walk, four days after the upper extremities also appear weakness, feeling normal, diet is acceptable, two will be normal. After the first 5 days of admission. Admission examination: T36.8 ℃, P75 beats / min, R20 beats / min, BP16.0 / 1O.6kPa. Clear, breath sounds rough two lungs. Heart rate 75 beats / min, regular heartbeat, no smell and abnormal heart sounds and noise. Cranial nerve without abnormalities, upper limb muscle strength Ⅳ, double lower extremity muscle strength 0 ~ 1, limb muscle tension is low, the feeling of shades, extremity tendon reflex, pathological sign negative, cervical non-resistance, kernig’s sign negative. Auxiliary examination: blood WBC 8.0 × 10 ~ 9 / L, N62%, L38%, blood K ~ (+) 4.3mmol / L, Na ~ (+) 134mmol / L, Cl ~ (-) 100mmol / Diagnosis of a Guillain-Barre syndrome. Admission after the application of hormones, antibiotics, antivirals, neurotrophic drugs. Six days after illness, extremities weakness, difficulty breathing. Physical examination: chest breathing weakened, two lungs sound rough tone. Upper limb muscle strength Ⅱ, double lower limb muscle strength 0. Waist wear: cerebrospinal fluid pressure 1.87kPa, the appearance of colorless, transparent, normal biochemical tests normal. To the eighth