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识别与管理吉兰-巴雷综合征。

Recognising and managing Guillain-Barré syndrome.

作者信息

Lugg Jason

机构信息

NHS South Gloucestershire.

出版信息

Emerg Nurse. 2010 Jun;18(3):27-30. doi: 10.7748/en2010.06.18.3.27.c7827.

DOI:10.7748/en2010.06.18.3.27.c7827
PMID:20608399
Abstract

Guillain-Barré syndrome, a randomly acquired inflammatory condition that can lead to progressive muscle weakness and paralysis, is a rare presentation in emergency departments, and differentiating its early stages from common viral illnesses can be difficult. Emergency practitioners should be aware, therefore, of the subtle early signs of Guillain-Barré syndrome so that they can make a diagnosis and refer patients appropriately. This article examines the aetiology, clinical presentation, diagnosis and treatment of the condition, and reviews the case of a 16-year-old girl diagnosed with a viral illness and discharged, but who was admitted to a neighbouring hospital a week later and diagnosed with Guillain-Barré syndrome.

摘要

格林-巴利综合征是一种随机获得性炎症性疾病,可导致进行性肌肉无力和瘫痪,在急诊科较为罕见,早期将其与常见病毒性疾病区分开来可能很困难。因此,急诊医生应了解格林-巴利综合征的细微早期体征,以便能够做出诊断并适当地转诊患者。本文探讨了该疾病的病因、临床表现、诊断和治疗,并回顾了一名16岁女孩的病例,该女孩最初被诊断为病毒性疾病并出院,但一周后被收治到附近医院,被诊断为格林-巴利综合征。

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