论文部分内容阅读
糖尿病合并眼外肌麻痹的发病率约为0.7～1%,其中累及动眼神经者约占1/2,较少见。我院收治3例,现报告如下。例1,女,59岁。右眼眶周、前额疼痛5天,复视3天入院。患者10天前持续畏寒、发热伴咳嗽。体检:T38.3℃.Bp16/11kPa。右眼上睑下垂,眼球上、下、内收运功障碍,瞳孔右0.4cm,左0.2cm,右侧光反射迟钝。周围血象:WBC18×10~9/L,N0.88,L0.12。空腹血糖13.66mmol/L,尿糖(?)。脑脊液:
Diabetes combined with the incidence of extraocular muscle paralysis is about 0.7 to 1%, of which involved the oculomotor nerve who account for about 1/2, less common. 3 cases admitted to our hospital, are as follows. Example 1, female, 59 years old. Right orbital weeks, forehead pain for 5 days, triple vision admission. The patient continued to chills 10 days ago, fever and cough. Physical examination: T38.3 ℃ .Bp16 / 11kPa. Right eye ptosis, eyeball, under, adduction dysfunction, the right pupil 0.4cm, left 0.2cm, the right light reflex slow. Peripheral blood: WBC18 × 10 ~ 9 / L, N0.88, L0.12. Fasting blood glucose 13.66mmol / L, urine sugar (?). Cerebrospinal fluid: