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格林-巴利氏综合征的病因目前尚不十分清楚,一般认为是由过敏反应引起,亦有认为属自身免疫性疾病,而本病由麻疹和流行性出血热所致者临床少见,现报道如下。例1,男,12岁,因发热,咳嗽6天,全身皮疹伴双下肢瘫痪3天,于1987年6月5日入院。患儿入院前6天开始发热、咳嗽、畏光、流泪,3天后开始出疹,先耳后发际,渐及全身。同时出现双下肢瘫痪。患者有麻疹接触史。查体见全身满布玫瑰红色斑丘疹,部分融合成片。双下肢呈弛缓性瘫痪,肌力Ⅱ级,无感觉障碍,双膝反射消失,病理反射未引出。腰穿蛋白,细胞数7个/mm~3,血K~+正常。经中西医结合治疗,住院40天,热退,皮肤存留棕褐色的色素沉着及糠麸样皮肤脱屑,双下肢肌力恢复到Ⅳ级。例2,男,23岁,因发热头痛,腰痛3天入
The etiology of Guillain-Barre syndrome is not yet fully understood, is generally believed to be caused by an allergic reaction, but also considered to be autoimmune diseases, and the disease is clinically rare due to measles and epidemic hemorrhagic fever is reported as follows. Example 1, male, 12 years old, due to fever, cough 6 days, systemic rash with double lower limb paralysis for 3 days, on June 5, 1987 admitted. 6 days before admission to children with fever, cough, photophobia, tearing, 3 days after the onset of rash, the ear after the hair, gradually and the whole body. At the same time double lower limb paralysis. Patients have history of measles exposure. Physical examination found the body covered with rose red rash, some of the integration into pieces. Flaccid paralysis of both lower extremities, muscle strength Ⅱ, no sensory disturbances, reflex knees, pathological reflex did not lead. Waist through the protein, the number of cells 7 / mm ~ 3, blood K ~ + normal. After Integrative Medicine, hospitalized for 40 days, hot retreat, the skin remains brown pigmentation and bran-like skin desquamation, muscle strength of both lower limbs returned to Ⅳ. Example 2, male, 23 years old, due to fever headache, back pain 3 days into