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患者女,65岁。因左眼睑下垂,眼眶疼痛,复视1周于1983年3月就诊。经会诊疑有颅内占位性病变,因头颅平片、脑电图、脑血管造影未见异常而转至神经内科。查体:左眼脸下垂,眼球外展、内收及上下活动障碍。双瞳孔等大,直径约2.5mm,对光反射良好。右眼未见异常。颅神经、颈及四肢检查未见异常。无多饮、多尿、多食及体重减轻症状。化验:空腹血糖185mg/dl,血脂在正常范围。尿糖(+++),尿酮(-)。诊断:糖尿病合并左侧动眼神经麻痹。治疗:控制饮食,应用D860、降糖灵等药物,血糖降
Female patient, 65 years old. Due to left ptosis, orbital pain, diplopia 1 week in March 1983 treatment. The consultation suspected intracranial space-occupying lesions, due to skull plain film, electroencephalogram, cerebral angiography and no abnormalities go to neurology. Physical examination: left eye face drooping, eyeball outreach, adduction and up and down movement disorders. Double pupil and other large, about 2.5mm diameter, good light reflection. No abnormalities in the right eye. Cranial nerves, neck and limbs checked no abnormalities. No more drink, more urine, more food and weight loss symptoms. Test: fasting blood glucose 185mg / dl, blood lipids in the normal range. Urine (+++), Urine (-). Diagnosis: Diabetes associated with left oculomotor nerve paralysis. Treatment: Control diet, application D860, hypoglycemic and other drugs, blood sugar drop