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目的探讨单侧动眼神经麻痹的病因,提高诊疗水平。方法收集26例住院患者,对其病因临床表现进行总结分析。结果病因中属动脉瘤占30%,居第1位,糖尿病者占19.2%,居第2位。此外,有非糖尿病性血管病变,肿瘤,感染及不明原因者。结论单侧动眼神经麻痹病因复杂,应尽早明确病因,尽可能排除颅底动脉瘤,采取有效治疗措施提高治愈率。
Objective To investigate the etiology of unilateral oculomotor nerve paralysis and improve the diagnosis and treatment. Methods Twenty-six inpatients were collected and their clinical manifestations were analyzed. Results The cause of aneurysm accounted for 30%, ranking No. 1, diabetes accounted for 19.2%, ranking No. 2. In addition, non-diabetic vascular disease, cancer, infection and unexplained. Conclusions The cause of unilateral oculomotor nerve paralysis is complex, as soon as possible a clear cause, as far as possible ruled out of skull base aneurysm, to take effective treatment measures to improve the cure rate.