目的:探讨急性后天性眼外肌麻痹的临床特征和治疗方法。方法:对21例急性后天性眼外肌麻痹经详细询问病史、详细查体和眼科检查,给予球后或球旁注射地塞米松和654-2,静滴血塞通注射液或复方丹参注射液、能量合剂等。结果:本组21例急性后天性眼外肌麻痹中外伤引起者(肌源性)15例(71%),血管性病变引起者(神经源性)6例(29%)。均因复视首诊。治愈17例,显效4例。结论:急性后天性眼外肌麻痹早期积极药物治疗可取得显著效果。

AIM:To explore the clinical feature and therapeutic method of acute acquired extraocular muscles paralysis.METHODS:The detailed medical record,system and ophthalmology medical examination were performed in 21 cases of acute acquired extraocular muscles paralysis and then dexamethasone and 654-2 were injected behind or beside the eyeball,and the xuesaitong or complex salviae parenteral solution and energy mixture were dripped in vein. RESULTS:There were 15 cases (71%) induced by surgical trauma (neurogenic paralysis),and 6 cases(29%) by the blood vessel pathological changes (muscular paralysis). All cases saw doctor firstly because of ambiopia. 17 cases fully recovered from the illness and 4 cases excellently recovered from the illness. CONCLUSION:The significant effect can be gained by early and positive drug treatment.

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