作者报告一例病人全麻后并发单侧面瘫。该例病人,女,34岁,因子宫颈涂片检查显示宫颈发育不良拟行阴道镜和宫颈活检。三年前经活检诊断为类肉瘤病(结节病)波及腰段脊髓,因此,双下肢无力。两年前,因双侧葡萄膜炎应用大剂量强的松治疗10天见好。此后,未再用激素或其它药物,也否认眼痛、耳痛,听力减退,也无面神经症状或腮腺肿大。胸片和心电图检查正常。术前2小时口服安定10mg,静注硫喷妥钠275mg诱导,吸入N_2O—O_2—氟烷维持麻醉45分钟,回病房后,病人说话困难、流涎、食物外漏、下唇不能活动、歪斜,作吹口哨动作时不能噘嘴,舌前2/3的味觉存在,面神经其他分布区域的运动功能以及其他颅神经和周围神经功能均无异常。术后第二天,病人畏光,视物模糊。眼科检查发现前葡萄膜炎伴有角膜后沉淀。黄昏时偶然体温稍高,无腮腺肿大及压痛等。根据 The authors report a patient with unilateral paralysis after general anesthesia. The patient, female, 34 years old, was examined by cervical smear cervical dysplasia colposcopy and cervical biopsy. Three years ago biopsy diagnosed as sarcoidosis (sarcoidosis) spread to the lumbar spinal cord, therefore, both lower limb weakness. Two years ago, the application of high-dose prednisone for bilateral uveitis for 10 days was good. Since then, no further use of hormones or other drugs, but also denied eye pain, earache, hearing loss, nor facial symptoms or parotid swelling. Chest radiography and ECG were normal. 2 hours before surgery oral stability 10mg, intravenous injection of thiopental 275mg induction, inhalation of N_2O-O_2-fluoroalkane to maintain anesthesia for 45 minutes, back to the ward, the patient speech difficulties, salivation, food leakage, lower lip can not move, skew, Whistling action can not pout, 2/3 of the taste before the presence of tongue, facial nerve function and other distribution of motor function and other cranial nerves and peripheral nerve function were normal. The second day after the patient photophobia, blurred vision. Eye examination revealed anterior uveitis associated with post-corneal deposition. Occasional temperature slightly higher at dusk, no parotid gland swelling and tenderness. according to