Wong P S, Fothergill N J, Touquet R
Accident and Emergency Department, St. Mary's Hospital, London, England.
Arch Emerg Med. 1988 Dec;5(4):242-5. doi: 10.1136/emj.5.4.242.
Guillain-Barré syndrome (acute inflammatory polyneuropathy) is a rare disorder with an incidence of one to two per 100,000 per year (Kennedy et al., 1978) but it is the commonest cause of acute muscle weakness in patients under 40 years of age. The clinical diagnosis is made by finding a symmetrical motor and sensory peripheral neuropathy, commonly with cranial nerve involvement. Mechanical ventilation is required in 14% of patients because of paralysis of the respiratory muscles. Early treatment with plasma exchange leads to more rapid and complete recovery of neurological function, and reduces the time spent on the ventilator. Early diagnosis and referral for plasma exchange is therefore very important. The present authors report a case in which abdominal pain was the patient's initial symptom and her main complaint.
吉兰-巴雷综合征（急性炎性多发性神经病）是一种罕见疾病，年发病率为十万分之一至二（肯尼迪等人，1978年），但它是40岁以下患者急性肌肉无力最常见的病因。临床诊断依据为发现对称性运动和感觉性周围神经病，通常伴有脑神经受累。14%的患者因呼吸肌麻痹需要机械通气。早期进行血浆置换治疗可使神经功能更快、更完全地恢复，并减少使用呼吸机的时间。因此，早期诊断并转诊进行血浆置换非常重要。本文作者报告了一例以腹痛为首发症状和主要诉求的病例。
