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Guillain-Barre Syndrome(GBS)属于自体免疫疾病。多由于前驱感染、接种、恶性肿瘤、妊娠、手术所引起,而脊髓或硬膜外麻醉所引起者尚未见报道。作者报告四例。在硬膜外麻醉后引起的GBS。女性1例,男性3例,年龄为25、29、60、70岁。因疝修补2例、分娩1例、急性痔脱垂1例均做了硬膜外麻醉。术后1～2周出现肢体无力,末稍感觉异常,2例伴吞咽困难。1例在一个月内症状达到高峰。查体:四肢无力及双下肢无力各2例,腱反射均消失,均有末稍型感觉障碍;1例深感觉障碍;双侧面瘫、吞咽困难各2例;呼吸困难1例。CSF蛋白细胞分离3例,正常1例。电诊断运动传导速度减慢3例,正常1例,伴末梢潜伏期迟缓2例,
Guillain-Barre Syndrome (GBS) is an autoimmune disease. More due to the precursor infection, vaccination, cancer, pregnancy, surgery caused by spinal cord or epidural anesthesia has not been reported. The authors report four cases. GBS caused after epidural anesthesia. 1 woman, 3 males, aged 25,29,60,70 years old. In 2 cases of hernia repair, childbirth in 1 cases, acute hemorrhoids prolapse in 1 case were done epidural anesthesia. 1 to 2 weeks after the emergence of limb weakness, the end of feeling abnormalities, 2 patients with dysphagia. In one case, the symptoms peaked in one month. Examination: limb weakness and weakness of the lower extremities in 2 cases, tendon reflexes disappeared, all have distal sensory dysfunction; 1 case of deep sensory disturbances; bilateral facial paralysis, dysphagia in 2 cases; dyspnea in 1 case. CSF protein cells in 3 cases, normal in 1 case. Electrical diagnosis of motor conduction slowed down in 3 cases, normal in 1 case, with delayed terminal latency in 2 cases,