COVID-19 相关格林-巴利综合征在足月孕妇中的管理：病例报告。
Management of COVID-19-Associated Guillain-Barré Syndrome in a Full-Term Pregnant Woman: A Case Report.
机构信息
Department of Anesthesiology and Intensive Care, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia.
出版信息
J Mother Child. 2023 Aug 7;27(1):52-54. doi: 10.34763/jmotherandchild.20232701.d-22-00066. eCollection 2023 Jun 1.
Guillain-Barré syndrome (GBS) can occur after viral infections. Its occurrence after COVID-19 infection in the peripartum period is a very rare co-occurrence. Therefore, there are no guidelines for the management of these patients. We report the case of a 32-year-old pregnant woman who developed COVID-19-associated GBS with aspiration pneumonia, motor weakness, and ascending paralysis at 39 weeks of gestation. Preoperative plasmatic exchange (plasmapheresis) and oxygen support were very effective and allowed for a rapid recovery within five days. Because of foetal distress during labor, the patient had a caesarean section under spinal anaesthesia with no maternal complications or adverse foetal outcomes.
格林-巴利综合征（GBS）可发生于病毒感染之后。围产期感染新冠病毒后发生 GBS 极为罕见。因此，目前并无此类患者的管理指南。我们报告了一例 32 岁孕妇的病例，该患者在妊娠 39 周时发生与 COVID-19 相关的 GBS，伴有吸入性肺炎、运动无力和进行性瘫痪。术前进行血浆置换（血浆置换术）和氧疗效果显著，患者在 5 天内迅速康复。由于分娩时胎儿窘迫，该患者在脊髓麻醉下行剖宫产术，产妇无并发症，胎儿结局良好。
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