104例格林_巴利综合征电生理分型及病理分析_钟琪.pdf

·62 · C in J Clin Neurosci 2004, 12(1), 62～65 104- 1 2 3 4 5 6 钟　琪, 卫国华,刘运贤, 陈　柯,王　慧, 常　虹 1 2 3 (　200011;　200025; 4 5 6 　235000;　230000; 　233000; 　221000) 　-;　;　;　 　:104 -(GBS)。: 104 GBS , 19 。:104 GBS 60.37%、49.03%。: 64 , 31 , 9 。 19 , 13 。:104 GBS , 。GBS 。 Elotrophysiological ClassificationandPathologicnl Results of the 104 Cases with Guillain-Barre Syndrome　ZHONG Qi, WEI Guo-Hua ,LIU Yun-Xian , et al .　Department of Neurology,T e Second Peoples Hospital, S ang ai 200011, C ina KEY ORDS　Guillain-Barre syndrome;　electrophysiology;　close contaet with pathology;　organopnosphorus pesticide ABSTRACT　Aim:To study t e electrop ysiological classification and pat ological result of t e 104 cases wit Guillain-Barre syndrome(GBS). Methods:Eletrop siological and clinioal data of 104 caseswit GBS were analyzed retrospetiely.19 patients sural nerve wit GBSwere study by lig t and electron microscopic.Results:In t e 104 patients wit GBS 60.37% ad a preceding gastrointrstinal tract infection and 49.03%close contact wit organop osp orus pesticide.Among t e 104 petientswit GBS, t e demyelinating pattern appeared was present in 64 petients, t e axonal pattern in 31 petients and 8 petients were inexcitable.T e pat ological findings:sural nerve biopsy s owed t at demyelinating pattern was t e predoment pat ological c ange in 19 cases, axonal pattern was also seen in 13 of 19 cases.Conclusion:In 104 patient wit GBS, t e demyelinaing pattern was t e major electrop ysological subtype, gastrointes-tinal tract infection was t e predoment.Effects of organop osp orus pesticide in t e electrop ysiological of axoual various subtype. 　　 1992 -2001 104 - 1 。64 ,61.53%。 (Guillain-Barre,GBS),