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目的:探讨格林-巴利综合征的误诊原因和对策。方法:回顾性分析安吉县中医医院收治的格林-巴利综合征中误诊的15例临床资料。结果:其中误诊为多发性神经炎1例,脑梗死4例,低钾麻痹4例,重症肌无力1例,多发性肌炎1例,结核性脑膜炎1例,脑干炎1例,颈椎病1例,败血症1例。结论:格林-巴利综合征缺乏特异性,临床上应详细询问病史,充分认识格林巴利综合征临床症状的复杂多样性,反复认真做好全身检查和辅助检查,配合脑脊液检查及电生理检查可避免误诊。
Objective: To investigate the causes and countermeasures of misdiagnosis of Guillain-Barre syndrome. Methods: The clinical data of 15 cases misdiagnosed in Guillain-Barre syndrome admitted to Anji County Chinese Medicine Hospital were analyzed retrospectively. Results: Misdiagnosed as polyneuritis in 1 case, cerebral infarction in 4 cases, hypokalemia in 4 cases, myasthenia gravis in 1 case, polymyositis in 1 case, tuberculous meningitis in 1 case, brain stem inflammation in 1 case, cervical spine 1 case of disease, 1 case of sepsis. CONCLUSIONS: The lack of specificity of Guillain-Barre syndrome, clinical history should be asked in detail, a full understanding of the clinical complexities of Guillain-Barre syndrome, diversity, repeatedly and conscientiously do the whole body examination and auxiliary examination, with cerebrospinal fluid examination and electrophysiological examination Can avoid misdiagnosis.