丛某某,女,17岁。主因复视、伴吞咽困难十天余,在1986年10月19日住院。患者十天前劳累,又遭雨淋,次日出现视物模糊、视物成双,继之饮水呛咳,行路不稳,晃动感。当地医院用青霉素药物治疗无效,病情加重,行走无力,转我院。既往史:体健。查体 T、P、R 正常,Bp16/9.33KPa。神清,颈软,问答切题,言语含混不清,双侧瞳孔等大正圆3.3mm,光感(+),双眼外展受限,伴复视,眼底正常,双侧眼睑闭合不 Cong Moumou, female, 17 years old. Main diplopia, with dysphagia more than ten days, in October 19, 1986 hospitalization. Ten days before the patient was tired, but also by the rain, blurred vision on the next day, depending on the material in pairs, followed by drinking cough, unsteady, swaying. Local hospital treatment with penicillin invalid, aggravated, weakness, transfer to our hospital. Past history: physical health. Physical examination T, P, R normal, Bp16 / 9.33KPa. Clear, soft neck, question and answer questions, ambiguous speech, bilateral pupil and other large equatorial 3.3mm, light sense (+), eyes with limited abduction, with diplopia, fundus normal, bilateral eyelid closure is not