摘要
目的:提高临床医师对糖尿病性动眼神经麻痹机制、临床症状以及治疗措施的认识。方法:回顾性分析我院近期成功缓解1例糖尿病性动眼神经麻痹患者症状的诊疗过程及复习相关文献。结果:此例患者为中年女性,诊断为2型糖尿病(T2DM) 13年,血糖控制不佳,住院期间诊断为糖尿病性动眼神经麻痹,予以降糖、扩血管、营养神经等一系列对症支持治疗后好转出院。结论:对于糖尿病患者,伴头部、眼眶疼痛及视物模糊、复视,应考虑此病可能,与其他疾病鉴别,避免漏诊、误诊。
Objective: To get a deeper understanding of the mechanism, clinical symptoms, diagnosis and treatment of diabetic oculomotor palsy among clinicians. Methods: A retrospective analysis was performed for diagnosis and treatment of one patient with diabetic oculomotor palsy, and the relevant literature was reviewed. Result: The patient, a middle-aged woman, had been diagnosed with type 2 diabetes mellitus (T2DM) for 13 years, with poor blood glucose control. During hospitalization, diabetic oculomotor palsy was diagnosed. The patient was given a series of essential treatment, such as glycemic control, vascular dilation and neurotrophic treatment, and then he was improved and discharged. Conclusion: For patients with diabetes mellitus complicated by headache, orbital pain and blurred or double vision, the possibility of diabetic oculomotor palsy should be considered to avoid misdiagnosis.
出处
《临床医学进展》
2020年第11期2605-2609,共5页
Advances in Clinical Medicine
