34例急性眼外肌麻痹临床及病因分析

Clinical and etiological analysis of 34 cases of acute extraocular muscles palsy

目的探讨急性眼外肌麻痹的病因特点。方法采用三棱镜、同视机及红玻璃片、视野等方法进行眼位、眼球运动和复像检查,辅以血液生化检查和影像学(CT、MRI)诊断。结果34例中主要病因依次为神经源性麻痹23例(67.65%),肌源性麻痹5例(14.71%),机械性麻痹4例(11.76%),全身免疫性2例(5.88%)。结论急性眼外肌麻痹病因复杂,应对患者进行详细的全身和眼部检查。复视可能是系统性疾病的先兆或症状的一部分。

Objective To investigate clinical and etiological characteristic of acute extraoeular muscles pasly. Methods Prism, synoptohere, red glass and visual field test were used to examine the ocular position, muscle movement and diplopia image in 34 cases. Biochemical examination of blood and imaging diagnosis（ CT, MRI） were also included. Results Among 34 cases, the causes were palsy of the nerve source（ 67. 64% ） , palsy of the muscle source （ 14.71% ） , mechanical palsy （ 11.76% ） , immune diseases （ 5.88% ）. Conclusion The cases of actute extraocular muscles palsy are complicated. The patients should be examined carefully with a complete body and eyes. The patients should be examined carefully with a complete body and eyes. The diplopia may be the premonitory or part sympotoms of some systematic diseases.