Hukuimwe Misai, Matsa Tawanda T, Gidiri Muchabayiwa F
Department of Obstetrics and Gynaecology, College of Health Sciences, University of Zimbabwe, Avondale, Zimbabwe.
Womens Health (Lond). 2017 Apr;13(1):10-13. doi: 10.1177/1745505717704128. Epub 2017 Apr 25.
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.
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。
