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目的探讨老年人单侧眼肌麻痹的病因。方法回顾性分析了32例单侧眼肌麻痹的老年患者的资料,对其临床特点进行分析,结果糖尿病性眼肌麻痹所占比例最大,占50%,其次是动脉瘤性眼肌麻痹,占19%,其他:脑干血管病占16%,痛性眼肌麻痹占6%,鼻咽癌占6%,重症肌无力占3%,结论老年人单侧眼肌麻痹病因复杂,应仔细分析,全面检查,避免漏诊。
Objective To investigate the etiology of unilateral ophthalmoplegia in the elderly. Methods The data of 32 elderly patients with unilateral ophthalmoplegia were retrospectively analyzed. The clinical features of the patients with unilateral ophthalmoplegia were retrospectively analyzed. The results showed that ophthalmoplegia accounted for 50% of the total, followed by aneurysm ophthalmoplegia 19%, others: brain stem disease accounted for 16%, painful ophthalmoplegia accounted for 6%, nasopharyngeal carcinoma accounted for 6%, myasthenia gravis accounted for 3%, Conclusion The causes of unilateral ophthalmoplegia are complex and should be carefully analyzed , A comprehensive examination to avoid missed diagnosis.