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糖尿病性神经病变可累及神经系统任何一部分。但颅神经受累者少见,尤其面神经受损者更属罕见。现报导一例如下:宋某,女,56岁。因多食、多饮、多尿、消瘦8年,加重半年,以“糖尿病”于1987年11月9日收住院。住院前未作过正规治疗。查体:T36℃,BP25.3/12kPa。左眼视力0.2,右眼视力0.1,双侧晶体状混浊,眼底检查;视网膜动脉硬化Ⅱ~0。心、肺无异常,肝脾未触及。化验检查:血糖14.4mmol/L,总胆固醇7.4mmol/L,甘油三脂5.4mmol/L。
Diabetic neuropathy can affect any part of the nervous system. However, rare cranial nerve involvement, especially facial nerve damage even more rare. Is reported as follows: Song, female, 56 years old. Due to more food, drink more, more urine, weight loss eight years, increased six months to “diabetes” in November 9, 1987 admitted to hospital. No formal treatment before hospitalization. Physical examination: T36 ℃, BP25.3 / 12kPa. Left eye vision 0.2, right eye vision 0.1, bilateral lens opacity, fundus examination; retinal arteriosclerosis Ⅱ ~ 0. Heart, lung no abnormalities, liver and spleen not touched. Laboratory tests: blood glucose 14.4mmol / L, total cholesterol 7.4mmol / L, triglyceride 5.4mmol / L.