论文部分内容阅读
男,57岁。一月前起感头部胀痛、鼻塞、不发热。约一周后双眼睑下垂,复视,饮水呛咳,吞咽费力,四肢无力,行走不稳,站立时摇摆不定,多向后倒。左侧面部麻木感,左上眼睑有蚁走感。既往无甲亢、糖尿病、高血压病史。体查:呼吸20次,脉搏100次,体温37.5℃、血压130/80。心肺正常,肝脾未扪及。双眼球向各方向运动受限,正视前方,有
Male, 57 years old. A month ago, headache, nasal congestion, no fever. About a week after the double eyelid ptosis, diplopia, coughing drinking water, swallowing labor, weakness, walking unstable, standing swinging, and more backward. Left facial numbness, the upper left eyelid has a sense of walking. Past no hyperthyroidism, diabetes, history of hypertension. Physical examination: breathing 20 times, pulse 100 times, body temperature 37.5 ℃, blood pressure 130/80. Cardiopulmonary normal, liver and spleen not palpable. Eyes are limited to all directions, facing the front, there