Quinlan D J, Moodley J, Lalloo B C, Nathoo U G
Department of Obstetrics and Gynaecology, University of Natal, Durban.
S Afr Med J. 1988 May 21;73(10):611-2.
Severe Guillain-Barré syndrome in a patient 33 weeks pregnant, who went into premature labour 48 hours after requiring mechanical ventilation, is described. The labour required augmentation with oxytocin and a healthy 2,100 g baby was delivered using forceps. Obstetrically, the patient had an uncomplicated puerperium. She required ventilation for 20 days and after extensive physiotherapy was discharged with no disability. It is our opinion that the management of the gravid patient with Guillain-Barré syndrome does not differ much from that of non-pregnant patients with the disease. Supportive care in an intensive care unit remains the cornerstone of treatment and unnecessary obstetric intervention must be strongly resisted.
本文描述了一名怀孕33周的严重吉兰-巴雷综合征患者，该患者在需要机械通气48小时后出现早产。分娩时需要使用缩宫素加强宫缩，并使用产钳助产，产下一名体重2100克的健康婴儿。产科方面，患者产褥期无并发症。她需要通气20天，经过广泛的物理治疗后出院，无残疾。我们认为，妊娠合并吉兰-巴雷综合征患者的管理与非妊娠患者的管理没有太大差异。重症监护病房的支持性护理仍然是治疗的基石，必须坚决抵制不必要的产科干预。
