患者王旭,男1.5岁,住院号20005835。主因双眼上睑上举无力1月而住院,患者嗜酒,1月前饮酒后出现上睑下垂,首先是左眼,第二天右眼也相继发病,晨轻午后加重,患病前无其它诱因,在当地曾用激素治疗不见明显好转,今来我院,门诊作新斯的明试验阳性,而以重症肌无力性上睑下垂收住院。眼部检查:双眼上睑上举无力,上睑缘位置下降,下遮上1/3瞳孔区,双眼前节及眼底未见明显异常,角膜映光正位交替遮盖ou不动。初步诊断:双眼重症肌无力性上睑下垂。处理:给予强的松30mg隔日一次晨服,配合溴吡斯的明20mg日三次口服,一周后增至60mg日三次口服,症状有明显好转,无腹痛恶心 Patient Wang Xu, male 1.5 years old, hospital number 20005835. The main reason for the upper eyelid lifted in January hospitalization, patients with alcohol, appeared in January after drinking blepharoptosis, the first is the left eye, right eye also have the next day of illness, increased light morning after no illness before the illness Incentives in the local hormone therapy has not been significantly improved, now to our hospital, outpatient Neostigmine test positive, and to myasthenia gravis psoriasis admitted to hospital. Eye examination: both eyes on the weak upper eyelid, the lower eyelid edge position, under the cover on the pupil area, the anterior segment of both eyes and fundus no obvious abnormalities, corneal Opposite cover alternately cover ou not move. Preliminary diagnosis: binocular myasthenia gravis ptosis. Treatment: given prednisone 30mg every other morning morning service, with pyridostigmine 20mg three times a day, one week later to 60mg three times orally, the symptoms were significantly improved, no abdominal pain nausea