鼻手术后格林-巴氏综合征1例

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI:10.18787/jr.2023.00011
Chan Ho Yoon, Young Bin Yun, Sangjun Kim, Woo Yong Bae
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引用次数: 0

摘要

格林-巴利综合征(GBS)是一种自身免疫性疾病,通常在感染之前发生。其典型症状为进行性对称性轻瘫和深肌腱反射缺失。由于呼吸肌麻痹,GBS可能会危及生命,应考虑进入重症监护室进行密切监测。静脉注射免疫球蛋白可以改善疾病的进程。术后GBS最有可能发生在胃肠道、心脏、胸部、神经或骨科手术以及女性生殖道手术之后。手术持续时间、年龄、传染病、先前存在的自身免疫性疾病和恶性疾病与术后GBS相关。有这些因素的患者术后发生GBS的风险更高,因此需要在术后采取预防措施。我们报告了一例53岁的女性,她在鼻腔手术后经历了GBS,之前是胃肠道感染,并接受了静脉注射免疫球蛋白的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of Postoperative Guillain-Barré Syndrome After Nasal Surgery.

Guillain-Barré syndrome (GBS) is an autoimmune disease that is generally preceded by an infection. Its typical symptoms are progressive symmetric paresis and an absence of deep tendon reflexes. GBS could be a life-threatening condition due to the paralysis of respiratory muscles, and admission to the intensive care unit should be considered for close monitoring. Intravenous immunoglobulin can improve the course of the disease. Postoperative GBS is most likely to occur after gastrointestinal, cardiac, thoracic, neurological, or orthopedic surgery, as well as surgery in the female reproductive tract. The duration of surgery, age, infectious diseases, preexisting autoimmune diseases, and malignant diseases are associated with postoperative GBS. Patients with these factors have a higher risk of postoperative GBS and therefore require precautions to be taken after surgery. We report a case of 53-year-old woman who had experienced GBS after Nasal surgery preceded by gastrointestinal infection and treated by intravenous immunoglobulin.

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