1　病例简介患者,女,33岁,因头痛7个月,复视3个月,左眼睑下垂1个月而入院。查体,Ｔ:374℃,Ｂｐ:147/107ｋＰａ,查体合作。无颈强,双侧瞳孔不等大,左侧瞳孔约4ｍｍ,右侧瞳孔约3ｍｍ,对光反射存在,双眼复视,左眼球突出,左眼上、下视,内收差、外展稍差,右眼上、下视受限,内收... 1 case description The patient, female, 33 years old, due to headache for 7 months, diplopia 3 months, left eyelid ptosis 1 month and admitted to hospital. Physical examination, T: 374 ℃, Bp: 147 / 107kPa, physical examination. No neck strong, bilateral pupil ranged, the left pupil about 4mm, the right pupil about 3mm, the presence of light reflex, binocular diplopia, left eyeball protrusion, left eye upper and lower visual, adduction, adduction slightly Poor, right eye, lower as restricted, adduction ...