双侧甲状腺切除加双侧颈部淋巴结清扫术后引发吉兰巴雷综合征一例报告并文献复习.pdfVIP

·850 · ·个案报告· 双侧甲状腺切除加双侧颈部淋巴结清扫术后 引发吉兰- 巴雷综合征一例报告并文献复习 赵 红，王苏平，宋 品，李 莉，刘赞华，李淑敏 【摘要】 双侧甲状腺切除加双侧颈部淋巴结清扫术后并发吉兰 - 巴雷综合征（Guillain-Barré syndrome，GB ） 的病例在临床上较为少见，且GB 发病早期易被漏诊。本文报道了1例甲状腺癌伴甲状旁腺腺瘤患者，行双侧甲状腺 切除加双侧颈部淋巴结清扫术后并发GB 的临床诊治经过，并复习相关文献。提示外科手术可以为 GB 的诱因，临床 医生应警惕术后GB 的发生，避免漏诊和误诊。 【关键词】 吉兰-巴雷综合征；手术后并发症；甲状腺疾病 【中图分类号】R745.44 【文献标识码】D doi：10.3969/ j.issn.1007 -9572.2015.07.029 赵红，王苏平，宋品，等. 双侧甲状腺切除加双侧颈部淋巴结清扫术后引发吉兰-巴雷综合征一例报告并文献复 习［J］. 中国全科医学，2015，18 （7）：850-852. ［］ ZhaoH，Wang P， ongP，et al.Guillain-Barrésyndromeinapatientafterbilateralthyroidectomyplusbilateralcrvical lymph node dissection：one case report and literature review ［J］.Chinese General Practice，2015，18 （7）：850-852. Guillain-Barré Syndrome in a Patient after Bilateral Thyroidectomy plus Bilateral Cervical Lymph Node issection： One Case Report and Literature Review ZHAO Hong，WANG Su -Ping，SONG Pin，et al. DePartment of Neurology， DalianMuniciPal CentralHosPitalAffiliated to DalianMedical niversity，Dalian 116033，China 【Abstract】 Guillain -Barré syndrome （GB ）is clinically rare as a postoperative complication occurs after bilateral thyroidectomy plus bilateral cervical lymph node dissection，and missed diagnosis often occurs at its early stage.The article presentsthe diagnosis and treatment of GB as postoperative complication in a patient with thyroid cancer concurrent with parathyroid tumor after bilateral thyroidectomy plus bilateral cervical lymph node dissection.The relevant literature is also reviewed. urgical operations could induce GB .More attention should be paid to the diagnosis and treatment of postoperative GB ，preventing itsmissed diagnosis and misdiagnosis. 【Key words】 Guillain-Barré syndrome；Postoperative complications；Thyroid diseases 吉兰 - 巴雷综合征（Guillain -Barré 诊治经过。 瘤。建议行双侧甲状腺切除加双侧颈部淋 syndrome，GB ）是一种周围神经髓鞘脂 1 病例简介