急性后天性眼外肌麻痹21例临床分析  

Clinical analysis of 21 cases of acute acquired extraocular muscles paralysis

作　　者：杨国华[1] 张小平[1] 黄红[1] 

机构地区：[1]中国人民解放军546医院五官科

出　　处：《国际眼科杂志》2010年第1期181-182,共2页International Eye Science

摘　　要：目的:探讨急性后天性眼外肌麻痹的临床特征和治疗方法。方法:对21例急性后天性眼外肌麻痹经详细询问病史、详细查体和眼科检查,给予球后或球旁注射地塞米松和654-2,静滴血塞通注射液或复方丹参注射液、能量合剂等。结果:本组21例急性后天性眼外肌麻痹中外伤引起者(肌源性)15例(71%),血管性病变引起者(神经源性)6例(29%)。均因复视首诊。治愈17例,显效4例。结论:急性后天性眼外肌麻痹早期积极药物治疗可取得显著效果。AIM： To explore the clinical feature and therapeutic method of acute acquired extraocular muscles paralysis. METHODS： The detailed medical record, system and ophthalmology medical examination were performed in 21 cases of acute acquired extraocular muscles paralysis and then dexamethasone and 654-2 were injected behind or beside the eyeball, and the xuesaitong or complex salviae parenteral solution and energy mixture were dripped in vein. RESULTS： There were 15 cases （71%） induced by surgical trauma （neurogenic paralysis）, and 6 cases（29%） by the blood vessel pathological changes （muscular paralysis）. All cases saw doctor firstly because of ambiopia. 17 cases fully recovered from the illness and 4 cases excellently recovered from the illness. CONCLUSION： The significant effect can be gained by early and positive drug treatment.

关 键 词：眼外肌 麻痹 后天性 药物治疗 

分 类 号：R777.4[医药卫生—眼科]