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[儿童吉兰-巴雷综合征]

[Guillain-Barre syndrome in children].

作者信息

Macias Sánchez R, Lara Toro T

出版信息

Prensa Med Mex. 1976 Mar-Apr;41(3-4):100-5.

PMID:959169
Abstract

Twenty two cases of Guillian-Barré syndrome were studied at the Children's Hospital of the City of Morelia (State of Michoacán, México), in a four-year period; such that number represents tow out 1 000 of the patients hospitalized in that length of time. The subject of this paper is to get acquainted with the clinical features of this syndrome in this part of the country, to establish the usefulness of the study of the spinal fluid and to know the evolution of the disease in relation to the treatment with corticoids. In all of our twenty two cases, there were coincidental features with the ones reported by others; eventhough, the statistics of this syndrome in the childhood are few. The dissociation between the amounts of albumin and the count of cells in the spinal fluid confirms the diagnosis, but its abscence is not enough to exclude it. Apparently, the clinical evolution of this disease is not modified by ths use of corticoids. Finally, the most moderns etiopathogenic concepts of this syndrome are reviewed as well as its probable etiological association with the infectious mononucleosis virus (Epstein-Barr's virus).

摘要

在四年的时间里,对墨西哥米却肯州莫雷利亚市儿童医院收治的22例吉兰 - 巴雷综合征患者进行了研究;该数字占这段时间内住院患者的千分之二。本文的主题是了解该国这一地区该综合征的临床特征,确定脑脊液检查的作用,并了解使用皮质类固醇治疗后疾病的演变情况。在我们所有的22例病例中,都有与其他报道的病例相符的特征;尽管如此,关于该综合征在儿童期的统计数据很少。脑脊液中白蛋白含量与细胞计数之间的分离可确诊,但缺乏这种分离并不足以排除该病。显然,使用皮质类固醇并不会改变这种疾病的临床病程。最后,回顾了该综合征最新的病因学概念以及其与传染性单核细胞增多症病毒(爱泼斯坦 - 巴尔病毒)可能的病因学关联。

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