Borade Ashwin, Lad Sagar, Ansari Nusrat, Dhongade Ram
Department of Pediatrics,Sant Dnyaneshwar Medical Education and Research, Pune, Maharashtra, India.
Indian J Med Sci. 2010 Jul;64(7):325-8.
Guillain-Barré syndrome (GBS) is an acute demyelinating disorder of the peripheral nervous system that results from an aberrant immune response directed at peripheral nerves. A typical GBS patient presents with rapidly ascending symmetrical weakness, which may progress to respiratory failure in 30% of patients. There are no definite criteria exists in GBS in children regarding prolonged ventilation. Here we report a child of GBS requiring prolonged intubation and ventilation for 60 days who afterward had a complete recovery. We present this case to highlight the importance that even in children prolonged intubation and ventilation of GBS case prognosis can be good.
吉兰-巴雷综合征(GBS)是一种急性脱髓鞘性周围神经系统疾病,由针对周围神经的异常免疫反应引起。典型的GBS患者表现为迅速进展的对称性肌无力,30%的患者可能进展为呼吸衰竭。在儿童GBS患者中,关于延长通气时间尚无明确标准。在此,我们报告一名GBS患儿需要延长气管插管和通气60天,最终完全康复。我们展示这个病例以强调,即使是儿童GBS患者,延长气管插管和通气时间,预后仍可能良好。