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目的探讨变异型格林-巴利综合征(Guillain-Barre Syndrome,GBS)的误诊原因,提高诊断率。方法回顾性分析4例首诊漏诊或误诊的GBS患者的临床资料及误诊情况。结果 4例分别误诊为脑干脑炎,后循环缺血,颅内感染,三叉神经痛。误诊原因:(1)GBS早期诊断是个难点;(2)对其诊断的外延表现不能够正确的掌握;(3)对于老年患者的GBS未予重视。结论 Venkataraman报道的方法为变异型GBS早期诊断及鉴别诊断提供了依据。
Objective To investigate the causes of misdiagnosis of variant Guillain-Barre Syndrome (GBS) and to improve the diagnosis rate. Methods The clinical data and misdiagnosis of 4 cases of GBS missed or misdiagnosed by first diagnosis were retrospectively analyzed. Results 4 cases were misdiagnosed as encephalic encephalitis, posterior circulation ischemia, intracranial infection, trigeminal neuralgia. Misdiagnosis causes: (1) GBS early diagnosis is a difficult point; (2) the diagnosis of the extension of the performance can not be properly mastered; (3) for the elderly patients with GBS did not pay attention. Conclusion The method reported by Venkataraman provides a basis for early diagnosis and differential diagnosis of variant GBS.