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岭南现代临床外科 ›› 2026, Vol. 26 ›› Issue (03): 195-200.DOI: 10.3969/j.issn.1009-976X.2026.03.009

• 病例报道 • 上一篇    下一篇

重症急性胰腺炎合并吉兰-巴雷综合征 1例报道并文献分析

庄苏园, 程慧华#, 张克林, 周婷, 何清*   

  1. 中山大学孙逸仙纪念医院重症医学科,广东 广州 510120
  • 通讯作者: *何清,Emaol:heqing@mail.sysy.edu.cn
  • 作者简介:#共同第一作者

Severe acute pancreatitis complicated with guillain barre syndrome: a case report with literature review

ZHUANG Suyuan, CHENG Huihua#, ZHANG Kelin, ZHOU Ting, HE Qing*   

  1. Department of Critical Care Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guang zhou, 510120, China
  • Received:2026-05-10 Online:2026-06-20 Published:2026-08-10
  • Contact: *HE Qing, heqing@mail.sysu.edu.cn
  • About author:#Co-first author

摘要: 重症急性胰腺炎(Severe acute pancreatitis,SAP)是由多种病因引起的胰腺局部炎症、坏死和感染,并伴全身炎症反应和持续性器官功能衰竭的疾病。吉兰-巴雷综合征(Guillain Barre syndrome,GBS)系一类免疫介导的急性炎性周围神经病,急性起病,多在2周左右达到高峰,临床多出现对称性弛缓性肢体瘫痪、面神经麻痹、周围感觉障碍、脑脊液呈“蛋白-细胞”分离等现象,GBS常见于感染后,也有报道与其他疾病合并存在者。本文报道 1 例 42 岁男性重症急性胰腺炎患者合并吉兰-巴雷综合征的罕见病例,经多学科团队(MDT)综合治疗后,患者胰腺炎相关症状及神经系统症状均得到一定改善。对于存在中枢神经系统症状重症急性胰腺炎患者,临床需提高警惕考虑吉兰-巴雷综合征可能,做到早期识别并干预,改善患者的预后。

关键词: 重症急性胰腺炎, 吉兰-巴雷综合征, 多学科团队诊疗

Abstract: Severe acute pancreatitis is a disease caused by local inflammation, necrosis and infection of the pancreas caused by a variety of causes,accompanied by systemic inflammatory response and persistent organ failure. Guillain Barre syndrome (GBS) is a type of immune-mediated acute inflammatory peripheral neuropathy. It has an acute onset and usually reaches its peak in about 2 weeks. Clinically, symmetrical flaccid limb paralysis, facial nerve paralysis, peripheral sensory impairment,and “protein-cell” separation in cerebrospinal fluid are common. GBS is common after infection,and it has also been reported to be combined with other diseases. This article reports a rare case of a 42-year-old male patient with severe necrotizing pancreatitis complicated by Guillain Barre syndrome. After comprehensive treatment by a multidisciplinary team (MDT),the patient′s pancreatitis-related symptoms and neurological symptoms were improved to some extent. For patients with central nervous system symptoms,clinical practice needs to be more vigilant to consider the possibility of Guillain Barre syndrome,achieve early identification and intervention,and improve the patient′s prognosis.

Key words: severe pancreatitis, guillain barre syndrome, multi-disciplinary treatment

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