老年病人,尤其有高血压等中风危险因素者,突然发生面瘫时,往往首先想到是中风,其实并不如此。作者例举四例最后都确诊为Bell麻痹。例1,舒张压在药物严密控制下仍始终高于12.53kPa,女病人,75和80岁时曾先后左、右侧两次面瘫,然后恢复,最后确诊为Bell麻痹,83岁还健在。例2,胰岛素依赖型糖尿病20年,曾发生三次心肌梗死,63岁行冠状动脉旁路移植术,在60岁时患Bell麻痹,后 Elderly patients, especially stroke risk factors such as high blood pressure, sudden facial paralysis, often first thought of stroke, in fact, not the case. The authors give an example of four cases were finally diagnosed as Bell paralysis. Example 1, diastolic blood pressure is still higher than the 12.53kPa under strict control of drugs, female patients, 75 and 80 years old have left and right sides have facial paralysis, and then recovered, and finally diagnosed as Bell paralysis, 83-year-old still alive. Case 2, insulin-dependent diabetes 20 years, had three myocardial infarction, 63-year-old coronary artery bypass grafting, at age 60 suffering from Bell paralysis, after