格林巴利綜合癥的護(hù)理查房Guillain-BarreSyndrome格林巴利綜合癥1格林巴利綜合癥Guillain-BarreSyndrome疾病知識護(hù)理評估護(hù)理診斷護(hù)理措施格林巴利綜合癥2基本概念急性炎癥性脫髓鞘性多發(fā)性神經(jīng)病(acuteinflammatorydemyelinatingpolyradicu-loneuropathies,AIDP)又稱為格林-巴利綜合hE(guillain-barresyndrome,GBS)是指一種急性起病,一組神經(jīng)系統(tǒng)自身免疫性疾病。以神經(jīng)根外周神經(jīng)損傷為主,伴有腦脊液中BWin蛋白-細(xì)胞分離為特征的綜合癥。rha任何年齡和男女均可得病,但以男性青壯年為多見基本概念3病因與發(fā)病機(jī)制確切病因不明,屬神經(jīng)系統(tǒng)的一種遲發(fā)型過敏性自身免疫性疾病,可能與感染、疫苗接種有關(guān)。多數(shù)病人在本病發(fā)病前1-4周有呼吸道、腸道感染病史,最常見為空腸彎曲菌感染約占85%,此外還可有病毒、支原體等感染病原體入機(jī)體兔疫產(chǎn)生自身免識別錯(cuò)誤疫性T細(xì)胞和自身抗體周圍神經(jīng)髓鞘脫落,神經(jīng)根發(fā)生免炎癥疫反應(yīng)病因與發(fā)病機(jī)制4神經(jīng)細(xì)胞體Schwann細(xì)胞核釧逆軸索變D.神經(jīng)E.節(jié)段性(損傷遠(yuǎn)性(軸索變元變性性脫髓端軸索&髓性&脫髓鞘(軸索&鞘(軸索鞘肖變性)自遠(yuǎn)端向近髓鞘變可無損周圍神經(jīng)病四種基本病理過程示意圖神經(jīng)細(xì)胞體5格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件6格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件7格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件8格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件9格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件10格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件11格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件12格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件13格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件14格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件15格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件16格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件17格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件18格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件19格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件20格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件21格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件22格林巴利綜合癥的護(hù)理查房Guillain-BarreSyndrome格林巴利綜合癥23格林巴利綜合癥Guillain-BarreSyndrome疾病知識護(hù)理評估護(hù)理診斷護(hù)理措施格林巴利綜合癥24基本概念急性炎癥性脫髓鞘性多發(fā)性神經(jīng)病(acuteinflammatorydemyelinatingpolyradicu-loneuropathies,AIDP)又稱為格林-巴利綜合hE(guillain-barresyndrome,GBS)是指一種急性起病,一組神經(jīng)系統(tǒng)自身免疫性疾病。以神經(jīng)根外周神經(jīng)損傷為主,伴有腦脊液中BWin蛋白-細(xì)胞分離為特征的綜合癥。rha任何年齡和男女均可得病,但以男性青壯年為多見基本概念25病因與發(fā)病機(jī)制確切病因不明,屬神經(jīng)系統(tǒng)的一種遲發(fā)型過敏性自身免疫性疾病,可能與感染、疫苗接種有關(guān)。多數(shù)病人在本病發(fā)病前1-4周有呼吸道、腸道感染病史,最常見為空腸彎曲菌感染約占85%,此外還可有病毒、支原體等感染病原體入機(jī)體兔疫產(chǎn)生自身免識別錯(cuò)誤疫性T細(xì)胞和自身抗體周圍神經(jīng)髓鞘脫落,神經(jīng)根發(fā)生免炎癥疫反應(yīng)病因與發(fā)病機(jī)制26神經(jīng)細(xì)胞體Schwann細(xì)胞核釧逆軸索變D.神經(jīng)E.節(jié)段性(損傷遠(yuǎn)性(軸索變元變性性脫髓端軸索&髓性&脫髓鞘(軸索&鞘(軸索鞘肖變性)自遠(yuǎn)端向近髓鞘變可無損周圍神經(jīng)病四種基本病理過程示意圖神經(jīng)細(xì)胞體27格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件28格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件29格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件30格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件31格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件32格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件33格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件34格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件35格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件36格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件37格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件38格林巴利綜合癥護(hù)理查房神經(jīng)內(nèi)科一區(qū)課件39格林巴利綜合癥護(hù)理查房神經(jīng)