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患者唐××男68岁住院号13097两眼上睑突然下垂6天,于1991年6月5日入院。5月30日搬重物时,突然两眼发黑,持续数分钟后恢复。随后两眼上睑下垂,睁眼困难,双眼复视,但无头痛、恶心和肢体活动障碍等症状。发病后,在当地医院用新斯的明治疗3天无效。平素体健,无外伤史,有高血压病15年,常服降压药物。体检:神志清,肥胖体形,T.P.R 正常,BP22/12KP,心肺听诊正常,肝脾不肿大,四肢活动正常,双膝反射迟钝,巴彬斯基征阳性。右眼视力0.5,上睑下垂,睑缘完全遮盖瞳孔领,不能抬起,眼球向上,向内和向下活动明显障碍。瞳孔直径5mm,对光反应迟钝。左眼视力0.8,上睑下垂,睑缘遮盖瞳孔1/2,眼球向上、向内和向下活动受限。瞳孔直径4mm,
Patient Tang × × Male 68-year-old hospital number 13097 Two eyes suddenly drooping 6 days, in June 5, 1991 admission. Moved heavy objects on May 30, suddenly black eyes, continued for several minutes after the resumption. Then both eyes ptosis, eyes open difficulties, eyes diplopia, but no headache, nausea and physical activity disorders and other symptoms. After onset, treatment with neostigmine at a local hospital was not effective for 3 days. Usually physical health, no history of trauma, hypertension 15 years, often taking antihypertensive drugs. Physical examination: conscious mind, obese body shape, normal T.P.R, BP22 / 12KP, cardiopulmonary auscultation normal, hepatosplenomegaly, normal limbs, dull knee reflex, Babinski sign positive. Right visual acuity of 0.5, ptosis, eyelid completely cover the pupil collar, can not lift the eye upward, inward and downward activities significantly obstructive. Pupil diameter 5mm, unresponsive to light. Left eye vision 0.8, ptosis, covering the pupil of the eyelid 1/2, eyeball upward, inward and downward activities limited. Pupil diameter 4mm,