王晓冰，吉兰巴雷综合征.pptx

吉兰-巴雷综合征的护理主讲人:王晓冰指导老师:王珊老师Guillain—Barre Syndrome GBS定义临床表现治疗及预后护理措施目录acute inflammatory demyelinating polyradicu-lo-neuropathiesacute inflammatory demyelinating polyradicu-lo-neuropathiesacute inflammatory demyelinating polyradicu-lo-neuropathiesacute inflammatory demyelinating polyradicu-lo-neuropathies3定义临床表现acute inflammatory demyelinating polyradicu-lo-neuropathies治疗及预后acute inflammatory demyelinating polyradicu-lo-neuropathies护理措施acute inflammatory demyelinating polyradicu-lo-neuropathies目录acute inflammatory demyelinating polyradicu-lo-neuropathies定义?急性炎症性脱髓鞘性多发性神经病(AIDP)?是以周围神经和神经根的脱髓鞘及小血管周围淋巴细胞及巨噬细胞的炎性反应为病理特点的自身免疫病吉兰巴雷综合征(GBS)4定义?流行病学?男性略高于女性,各年龄组均可发病,发病年龄有双峰现象,即16~25岁和45~60岁,以儿童和青壮年多见吉兰巴雷综合征(GBS)5定义acute inflammatory demyelinating polyradicu-lo-neuropathies临床表现acute inflammatory demyelinating polyradicu-lo-neuropathies治疗与预后acute inflammatory demyelinating polyradicu-lo-neuropathies护理措施acute inflammatory demyelinating polyradicu-lo-neuropathies目录临床表现临床特点?1~4周前有胃肠道或呼吸道感染症状?疫苗接种史?突然出现剧烈以神经根疼痛(以颈肩腰和下肢为多)?急性进行性对称性肢体软瘫?主观感觉障碍?腱反射减弱或消失7临床表现?首发症状为四肢对称性无力?多从双下肢开始,逐渐向上发展,出现迟缓性瘫痪,多于数日至2周达到高峰?病情危重者,在1-2日内迅速加重,出现四肢对称性迟缓性瘫痪?严重者,可累及呼吸肌,出现呼吸肌麻痹,甚至死亡运动障碍8临床表现感觉障碍?一般较轻或缺如?肢体感觉异常eg烧灼、麻木、刺痛和不适感等,伴有肌肉酸痛,感觉减退呈轻微的手套、袜套样9临床表现?多为双侧,成人以双侧面神经麻痹多见,儿童以舌咽神经和迷走神经麻痹多见?表现为吞咽困难、构音障碍、呛咳和不能咳痰,易并发肺炎、肺不张、窒息和营养不良等脑神经损害10