Cebreros García M, Torres Mohedas J, Simón de las Heras R, Mateos Beato F, Sánchez Díaz J I
Hospital 12 de Octubre, Madrid.
An Esp Pediatr. 1990 Aug;33(2):120-3.
Clinical features and outcome of 15 children with Guillain-Barré syndrome were retrospectively analyzed. In 53% of the patients there was an infectious illness previous to the neurologic symptoms and in five children the etiologic agent was demonstrated. Motor deficit affecting limbs was the most common clinical presentation and facilal paralysis was the most frequent accompanying sign. One of these children developed the Fisher syndrome variant. The outcome was excellent except in one case. We want to remark from this serie high percentage of agents identified in the infectious process previous to Guillain-Barré syndrome and the good outcome of these patients, due to the supportive treatment in the pediatric intensive care unit where they were admitted.
对15例吉兰-巴雷综合征患儿的临床特征及预后进行回顾性分析。53%的患者在出现神经症状之前有感染性疾病，5例患儿的病原体得到确诊。影响肢体的运动功能障碍是最常见的临床表现，面瘫是最常见的伴随体征。其中1例患儿出现了费舍尔综合征变异型。除1例病例外，预后良好。我们想从这组病例中指出，吉兰-巴雷综合征之前感染过程中确定病原体的比例较高，且由于这些患者在儿科重症监护病房接受支持治疗，预后良好。
