中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
9期
1119-1120
,共2页
糖尿病%眼肌麻痹
糖尿病%眼肌痳痺
당뇨병%안기마비
Diabetes%Ophthalmoplegia
目的 探讨糖尿病患者眼肌麻痹的临床特点、发病机制及治疗.方法 收集2008年6月至2013年6月在青岛市市立医院眼科就诊的65例Ⅱ型糖尿病患者并发眼肌麻痹的临床资料进行分析.结果 在65例患者中,有61例以复视就诊,4例以上睑下垂就诊,瞳孔均未受累.经治疗并随诊半年,42例治愈,治愈时间为55 ～97天;好转17例;6例无明显改善.结论 该病起病急,动眼神经受累最常见,外展神经次之,多表现为复视及上睑下垂等症状,瞳孔一般不受累.早期诊断,及时治疗,大多数可获得良好疗效.
目的 探討糖尿病患者眼肌痳痺的臨床特點、髮病機製及治療.方法 收集2008年6月至2013年6月在青島市市立醫院眼科就診的65例Ⅱ型糖尿病患者併髮眼肌痳痺的臨床資料進行分析.結果 在65例患者中,有61例以複視就診,4例以上瞼下垂就診,瞳孔均未受纍.經治療併隨診半年,42例治愈,治愈時間為55 ～97天;好轉17例;6例無明顯改善.結論 該病起病急,動眼神經受纍最常見,外展神經次之,多錶現為複視及上瞼下垂等癥狀,瞳孔一般不受纍.早期診斷,及時治療,大多數可穫得良好療效.
목적 탐토당뇨병환자안기마비적림상특점、발병궤제급치료.방법 수집2008년6월지2013년6월재청도시시립의원안과취진적65례Ⅱ형당뇨병환자병발안기마비적림상자료진행분석.결과 재65례환자중,유61례이복시취진,4례이상검하수취진,동공균미수루.경치료병수진반년,42례치유,치유시간위55 ～97천;호전17례;6례무명현개선.결론 해병기병급,동안신경수루최상견,외전신경차지,다표현위복시급상검하수등증상,동공일반불수루.조기진단,급시치료,대다수가획득량호료효.
Objective To explore clinical features and pathogenesis of diabetes-associated ophthalmoplegia.Methods Sixty-five cases which were admitted ophthalmoplegia with type 2 diabetes from June 2008 to June 2013 in our hospital were retrospectively analyzed.Results Among 65 cases,monocular involvement with ptosis of the upper eyelid occurred in 4 cases,61 suffered from diplopia without pupillary abnormality,42 were healed.The treatment time was from 55 to 97 days; 17 cases were better and 6 cases had no change.Conclusions Diabetes-associated ophthalmoplegia is mostly in acute condition.Oculomotor nerve damage is the most common cause of the disease.It is well effective to active treat the primary affection of diabetes and the complication of the nerve.
