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妊娠期格林-巴利综合征:一例报告。

Guillain-Barré syndrome in pregnancy: A case report.

作者信息

Hukuimwe Misai, Matsa Tawanda T, Gidiri Muchabayiwa F

机构信息

Department of Obstetrics and Gynaecology, College of Health Sciences, University of Zimbabwe, Avondale, Zimbabwe.

出版信息

Womens Health (Lond). 2017 Apr;13(1):10-13. doi: 10.1177/1745505717704128. Epub 2017 Apr 25.

Abstract

Guillain-Barré syndrome is a rare condition in pregnancy which is characterised by symmetrical progressive ascending polyneuropathy. A case of a 16-year-old nulliparous woman who presented with rapidly progressive limb paralysis following an upper respiratory tract infection a week prior to presentation is discussed. She was intubated as she had developed respiratory failure and managed in the intensive care unit by a multidisciplinary team. Plasma exchange and intravenous immunoglobulin were not readily available so she was managed conservatively. The management of Guillain-Barré syndrome, maternal and foetal outcomes have been discussed.

摘要

吉兰-巴雷综合征是妊娠期罕见的疾病,其特征为对称性进行性上升性多神经病。本文讨论了一例16岁未生育女性的病例,该患者在就诊前一周出现上呼吸道感染后迅速进展的肢体麻痹。由于她出现了呼吸衰竭,因此进行了气管插管,并由多学科团队在重症监护病房进行管理。血浆置换和静脉注射免疫球蛋白不易获得,因此对她进行了保守治疗。文中还讨论了吉兰-巴雷综合征的管理、母婴结局。

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Guillain-Barré syndrome in pregnancy: A case report.妊娠期格林-巴利综合征:一例报告。
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Recognising and managing Guillain-Barré syndrome.识别与管理吉兰-巴雷综合征。
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本文引用的文献

1
Weakness in pregnancy - expect the unexpected.孕期虚弱——做好应对意外情况的准备。
Obstet Med. 2008 Dec;1(2):99-101. doi: 10.1258/om.2008.080011. Epub 2008 Dec 1.
4
Guillain-Barré syndrome after trivalent influenza vaccination during pregnancy.孕期接种三价流感疫苗后发生格林-巴利综合征。
Eur J Obstet Gynecol Reprod Biol. 2016 Jun;201:225-6. doi: 10.1016/j.ejogrb.2016.03.031. Epub 2016 Apr 1.
8
Intravenous immunoglobulin for Guillain-Barré syndrome.静脉注射免疫球蛋白治疗吉兰-巴雷综合征
Cochrane Database Syst Rev. 2014 Sep 19;2014(9):CD002063. doi: 10.1002/14651858.CD002063.pub6.
9
Relapsing Guillain-Barre syndrome in pregnancy and postpartum.妊娠期及产后复发性格林-巴利综合征
Ann Indian Acad Neurol. 2014 Jul;17(3):352-4. doi: 10.4103/0972-2327.138527.

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