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患儿男,1.5岁,因患格林—巴利综合征致急进性四肢软瘫4天而入院。体温37.4℃,神清,呼吸平稳,胸腹式呼吸均减弱,四肢肌张力减低,四肢肌力0—1级。入院后用环磷酰胺及大剂量维生素C 静脉滴注及抗感染等对症处理,病情曾一度稳定,但于入院后第15天突然呼吸困难,口唇及颜面皮肤发绀,胸式呼吸减弱,腹部出现反常运动,肺部痰鸣音增多而急行气管切开术,术后缺氧症状缓解。次日吞咽困难,呼吸肌麻痹,自主呼吸停止,神志不清,即用人工呼吸器复苏,并吸痰,吸氧,交替使用橡皮囊加压呼吸,同时给予细胞色素C、皮质激素、极化液、输血及抗感染等治
Male, 1.5 years old, was admitted to hospital due to acute limbs flaccid paralysis caused by Guillain-Barre syndrome. Body temperature 37.4 ℃, God clear, stable breathing, chest and abdomen breathing are weakened, muscle tension decreased limbs, limb muscle strength 0-1 level. After admission with cyclophosphamide and intravenous infusion of large doses of vitamin C and anti-infective symptomatic treatment, the condition was stable, but 15 days after admission, sudden breathing difficulties, lips and facial skin cyanosis, decreased thoracic breathing, abdominal appear Anomalous movement, increased lung phlegm and acute tracheotomy, postoperative hypoxic symptoms. The next day dysphagia, respiratory muscle paralysis, spontaneous breathing stopped, unconsciousness, that resuscitation with artificial respirators, and suctioning, oxygen, alternating use of rubber balloon pressure breathing, given cytochrome C, corticosteroids, polarization Liquid, blood transfusion and anti-infection treatment