77例急性眼外肌麻痹临床与病因分析

Clinical and etiological analysis of 77 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 77例中主要病因依次为神经源性麻痹 5 0例 (6 4 .93% ) ,肌源性麻痹 14例 (18.18% ) ,机械性麻痹 8例 (10 .39% ) ,全身免疫性 5例 (6 .4 9% )。结论 急性眼外肌麻痹病因复杂 ,应对病人进行详细的全身和眼部检查。

Objective To investigate clinical and etiological characteristic of acute extraocular muscles palsy.Methods Prism,synoptohore and red glass test were used to examine the ocular position,muscle movement and diplopia image in 77 cases.Biochemical examination of blood and imaging diagnosis (CT,MRI) were also included.Results Among 77 cases,the causes were palsy of the nerve source (64.93%),palsy of the muscle source (18.18%),mechanical palsy (10.39%),immune diseases (6.49%).Conclusion The cases of acute extraocular muscles palsy are complicated.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.