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中华眼科医学杂志(电子版) ›› 2017, Vol. 07 ›› Issue (03) : 140 -144. doi: 10.3877/cma.j.issn.2095-2007.2017.03.008

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综述

动眼神经麻痹的定位诊断及治疗进展
张阳1, 李俊红2,()   
  1. 1. 030001 山西医科大学
    2. 030001 山西医科大学;030002 山西省眼科医院斜视与小儿眼科
  • 收稿日期:2017-05-22 出版日期:2017-06-28
  • 通信作者: 李俊红

Localization diagnosises and the treatments progress of third nerve palsy

Yang Zhang1, Junhong Li2,()   

  1. 1. Shanxi Medical University, Taiyuan 030001, China
    2. Shanxi Medical University, Taiyuan 030001, China; Strabismus and pediatric ophthalmology, Shanxi Eye Hospital, Taiyuan 030002, China
  • Received:2017-05-22 Published:2017-06-28
  • Corresponding author: Junhong Li
  • About author:
    Corresponding author: Li Junhong, Email:
引用本文:

张阳, 李俊红. 动眼神经麻痹的定位诊断及治疗进展[J]. 中华眼科医学杂志(电子版), 2017, 07(03): 140-144.

Yang Zhang, Junhong Li. Localization diagnosises and the treatments progress of third nerve palsy[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2017, 07(03): 140-144.

动眼神经麻痹是一种可由多种病因导致的眼球运动异常、上睑下垂及瞳孔受损的疾病,是非共同性斜视的重要病因之一。动眼神经麻痹的临床表现为上睑下垂、眼球上转、内转、下转受限、患眼瞳孔散大及对光反应迟钝或消失。常见病因有脑血管疾病、头部外伤、肿瘤、炎症及内分泌代谢疾病等。本文着重从动眼神经的解剖路径、定位诊断、常见病因及治疗等方面,对动眼神经麻痹的临床特征及处理原则进行概述。

Third nerve palsy is a disease of abnormal eye movements, ptosis and pupillary damage caused by a variety of causes, and it is one of the most important causes of non concomitant strabismus. The clinical manifestations of Third paralysis ptosis, eye rotation, in turn, have limited pupil Kong Sanda and unresponsive to light or disappear. Common causes include cerebrovascular disease, head trauma, tumor, inflammation and endocrine and metabolic diseases. In this paper, the clinical features and treatment principles of Third nerve paralysis are reviewed from the aspects of anatomy, location, diagnosis, common cause and treatment of Third nerve.

图1 外直肌劈开转位至鼻侧图解[68] A图示前面观,B图示上面观,C图示下面观;N与P示可调节滑动套索,MR示内直肌,LR示外直肌,SR示上直肌,IR示下直肌,SO示上斜肌,IO示下斜肌
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