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目的:分析动眼神经麻痹临床特点。方法:收集中原油田第一社区第一医院和濮阳市人民医院神经内科2003-06/2008-06动眼神经麻痹患者共50例,分析其临床特点。结果:(1)动眼神经麻痹的常见病因为颅内动脉瘤(40%)、脑干血管病(16%),糖尿病性动眼神经麻痹(12%)、痛性眼肌麻痹(10%)。(2)48%患者症状无改善,6%患者死亡。结论:引起动眼神经麻痹的病因复杂多样,预后不佳。
Objective: To analyze the clinical features of oculomotor nerve paralysis. Methods: Fifty patients with oculomotor nerve paralysis in the First Hospital of the First Community, Puyang People ’s Hospital and the First Hospital of Zhongyuan Oilfield and the People’ s Hospital of Puyang City from 2003-06 to 2008-06 were collected for analysis of clinical features. Results: (1) Common causes of oculomotor paralysis were intracranial aneurysm (40%), cerebrovascular disease (16%), diabetic oculomotor palsy (12%), painful ophthalmoplegia (10% ). (2) 48% of patients did not improve symptoms, 6% of patients died. Conclusion: The causes of oculomotor nerve paralysis are complex and diverse with poor prognosis.