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例1,男性患者,59岁.因复视一周就诊.患者一周前晚上在家看电视时,突然右眼视物成双影,无头痛及眼眶痛.既往有糖尿病史9年.入院查体:Bp13.4/9.3kPa,右眼上睑无下垂,眼球外展受限,上下、内收活动可,左眼正常,其余检查均阴性.实验室检查:空腹血糖11.6mmol/L,血脂、心电图、脑电图正常,头颅CT正常,眼压、眼底正常.诊断糖尿病合并外展神经麻痹.予以达美康、VitB_1、VitB_(12)、烟酸、复方丹参片等治疗,2月后,复视症状消失,眼球活动正常.
Case 1, male patient, aged 59. One week visit for treatment of diplopia patients at home watching TV a week ago, suddenly double vision of the right eye as the object, no headache and orbital pain .Previous history of diabetes mellitus 9 years .In admission examination: Bp13.4 / 9.3kPa, right eyelid without ptosis, eyeball outreach limited, up and down, adduction activity, left eye is normal, the rest were negative.Laboratory examination: fasting blood glucose 11.6mmol / L, lipids, electrocardiogram , EEG normal, normal cranial CT, intraocular pressure, fundus normal diagnosis of diabetes combined with abducens nerve paralysis.Measured by Memecan, VitB_1, VitB_ (12), niacin, Fufang Danshen tablets and other treatment, after 2 months As the symptoms disappear, eye activity is normal.