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临床资料 6例急淋合并面瘫均为住院病人.其中男3例,女3例,年龄最小者18岁,最大者43岁.病程分别为2～11个月.面瘫发生在诱导缓解期3例,发生在完全缓解期2例,复发期1例.神经系统均无意识障碍.单纯一侧面瘫4例,合并肢体瘫1例,一例面瘫后转化为双侧面瘫一例.脑脊液常规化验:正常2例,4例白细胞增高,蛋白阳性.两例脑水中含大量幼稚淋巴细胞.治疗:6例均采用氨甲喋呤10mg加用地塞米松2mg鞘内注射.一例Co~(60)照射.预后:完全恢复3例,时间为4～6周.死亡3例,均死于脑出血.
The clinical data of 6 cases of acute lymph node complicated with facial paralysis were hospitalized patients, including 3 males and 3 females, the youngest was 18 years old, the largest was 43 years old.The course of disease was 2 to 11 months.The facial paralysis occurred in the induction of remission in 3 cases , Occurred in complete remission in 2 cases, 1 case of recurrence.Nervous systemNo unconsciousness.Only one side facial paralysis in 4 cases, with limb paralysis in 1 case, a case of facial paralysis converted to bilateral facial paralysis in one case .Cervical cerebrospinal fluid routine test: normal 2 cases , 4 cases of leukocytosis, protein positive.The two cases of brain water contains a large number of immature lymphocytes.Methods: 6 cases were used methotrexate 10mg plus dexamethasone 2mg intrathecal injection.One case of Co ~ (60) irradiation.Proportion: complete recovery in 3 cases , The time is 4 to 6 weeks, 3 died, all died of cerebral hemorrhage.