摘要
目的探讨登革热合并吉兰-巴雷综合征的临床特征及治疗。方法对2014年10月在广州市第八人民医院急诊医学科诊断的2例登革热合并吉兰-巴雷综合征的病例进行临床分析。于入院后查腰穿压力、细胞数、颅脑MR、肌电图、血常规、电解质等,对登革热予以对症治疗,并予以甲泼尼龙琥珀酸钠治疗,剂量根据病情确定。结果尽管登革热易并发神经疾病,但是合并吉兰-巴雷综合征少有报道,依据疾病的临床特征在疾病早期得到及时的诊断和治疗,2例患者均治疗显效。病情好转后出院,截止至2014年12月22日,2例患者均无明显后遗症发生,各脏器功能正常。结论掌握登革热在恢复期早诊断吉兰-巴雷综合征是得到显效治疗的重要因素。
Objective To explore the clinical characteristics and treatment of Guillain-Barre syndrome following dengue fever. Methods Two cases of Guillain-Barre syndrome following dengue fever were diagnosed in Emergency Medicine in Guangzhou Eighth people＇s Hospital in October 2014 and analyzed. Results Although dengue fever easily complicated by neurological diseases,followed by Guillain-Barre syndrome was rarely reported.Timely diagnosis and treatment could be obtained on the basis of the clinical features of the disease at the early stage;2 patients were treated well. Conclusion Early diagnosis of Guillain-Barre syndrome in the recovery stage of dengue fever is an important factor to get effective treatment.
出处
《热带医学杂志》
CAS
2015年第11期1517-1519,共3页
Journal of Tropical Medicine
基金
国家自然科学基金(81200903)
关键词
登革热
吉兰-巴雷综合征
早期诊断
临床特征
Dengue Fever
Guillain-Barre syndrome
Early diagnosis
Clinical characteristics
