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产后吉兰-巴雷综合征:康复问题与结局——三例病例报告

Guillain-Barre Syndrome in Postpartum Period: Rehabilitation Issues and Outcome - Three Case Reports.

作者信息

Gupta Anupam, Patil Maitreyi, Khanna Meeka, Krishnan Rashmi, Taly Arun B

机构信息

Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Department of Neurology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

出版信息

J Neurosci Rural Pract. 2017 Jul-Sep;8(3):475-477. doi: 10.4103/jnrp.jnrp_474_16.

Abstract

We report three females who developed Guillain-Barre Syndrome in postpartum period (within 6 weeks of delivery) and were admitted in the Neurological Rehabilitation Department for rehabilitation after the initial diagnosis and treatment in the Department of Neurology. The first case, axonal variant (acute motor axonal neuropathy [AMAN]) had worst presentation at the time of admission, recovered well by the time of discharge. The second case, acute motor sensory axonal neuropathy variant and the third case, AMAN variant presented at the late postpartum period. Medical treatment was sought much later due to various reasons and both the patients had an incomplete recovery at discharge. Apart from their presentations, rehabilitation management is also discussed in some detail.

摘要

我们报告了三名在产后(分娩后6周内)患上格林-巴利综合征的女性,她们在神经科进行初步诊断和治疗后,被收治到神经康复科进行康复治疗。第一例为轴索性变异型(急性运动轴索性神经病[AMAN]),入院时病情最严重,出院时恢复良好。第二例为急性运动感觉轴索性神经病变异型,第三例为AMAN变异型,均在产后晚期发病。由于各种原因,这两名患者就医时间较晚,出院时均未完全康复。除了介绍她们的病情外,还详细讨论了康复管理情况。

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本文引用的文献

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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.
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Guillain-barré syndrome in pregnancy: an unusual case.妊娠期格林-巴利综合征:一例罕见病例。
J Family Med Prim Care. 2013 Jan;2(1):90-1. doi: 10.4103/2249-4863.109965.
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Treatments for breast engorgement during lactation.哺乳期乳房胀痛的治疗方法。
Cochrane Database Syst Rev. 2010 Sep 8(9):CD006946. doi: 10.1002/14651858.CD006946.pub2.
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