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儿童期格林-巴利综合征(作者译)

[Guillain-Barre's syndrome in childhood (author's transl)].

作者信息

Mulas F, Martínez Bermejo A, Pascual Castroviejo I

出版信息

An Esp Pediatr. 1976 Jan-Feb;9(1):97-104.

PMID:1267306
Abstract

Seventeen cases of Guillain-Barré's syndrome aged between 14 month ans 7 years are studied from clinical, analytical and evolutives aspects. Neither sex nor season predominance occurs. Sixteen of the patients had a previous viral or bacterial infection. Difficulty in walking was the main symptom at the onset of illness. Arreflexia and motot paralysis were always symmetrical and ascending. Albumino-cytological dissociation in the C.S.F. was found in the whole group. An evolutive study was made of the recovery of movement, C.S.F. and tendon reflexes which occurred in this order except in two cases which showed abnormal evolution. We emphasize the extent and frequency of respiratory difficulties at the onset of illness. Some etiopathogenic aspects, the lack of specifity of the syndrome and the differences of the diagnosis with that of poliomyelitis are commented. We point out the lack of effect of the corticosteroids treatment and the positive effects of phisiotherapy after the acute stage.

摘要

对14个月至7岁的17例吉兰 - 巴雷综合征患者进行了临床、分析及病程方面的研究。未发现性别或季节优势。16例患者此前有病毒或细菌感染。行走困难是疾病发作时的主要症状。无反射和运动麻痹总是对称且呈上行性。全组脑脊液均发现蛋白细胞分离现象。对运动、脑脊液及腱反射的恢复进行了病程研究,恢复顺序如此,仅有2例出现异常病程。我们强调疾病发作时呼吸困难的程度和频率。对一些病因学方面、该综合征缺乏特异性以及与脊髓灰质炎诊断的差异进行了评论。我们指出皮质类固醇治疗无效以及急性期后物理治疗的积极效果。

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