全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用：99美元
投递稿件

查看量下载量

相关文章

更多...

糖尿病性动眼神经麻痹1例并文献复习
A Case of Diabetic Oculomotor Palsy and Literature Review

DOI: 10.12677/ACM.2020.1011395, PP. 2605-2609

Keywords: 糖尿病性动眼神经麻痹，机制，诊断，治疗
Diabetic Oculomotor Palsy, Mechanism, Diagnosis, Treatment

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：提高临床医师对糖尿病性动眼神经麻痹机制、临床症状以及治疗措施的认识。方法：回顾性分析我院近期成功缓解1例糖尿病性动眼神经麻痹患者症状的诊疗过程及复习相关文献。结果：此例患者为中年女性，诊断为2型糖尿病(T2DM) 13年，血糖控制不佳，住院期间诊断为糖尿病性动眼神经麻痹，予以降糖、扩血管、营养神经等一系列对症支持治疗后好转出院。结论：对于糖尿病患者，伴头部、眼眶疼痛及视物模糊、复视，应考虑此病可能，与其他疾病鉴别，避免漏诊、误诊。
Objective: To get a deeper understanding of the mechanism, clinical symptoms, diagnosis and treatment of diabetic oculomotor palsy among clinicians. Methods: A retrospective analysis was performed for diagnosis and treatment of one patient with diabetic oculomotor palsy, and the relevant literature was reviewed. Result: The patient, a middle-aged woman, had been diagnosed with type 2 diabetes mellitus (T2DM) for 13 years, with poor blood glucose control. During hospitalization, diabetic oculomotor palsy was diagnosed. The patient was given a series of essential treatment, such as glycemic control, vascular dilation and neurotrophic treatment, and then he was improved and discharged. Conclusion: For patients with diabetes mellitus complicated by headache, orbital pain and blurred or double vision, the possibility of diabetic oculomotor palsy should be considered to avoid misdiagnosis.

References

[1]  尚晶, 牛争平. 糖尿病动眼神经麻痹1例报道[J]. 中西医结合心脑血管病杂志, 2011, 9(6): 765-766.
[2]  中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版) [J]. 中国实用内科杂志, 2018, 38(4): 34-86.
[3]  Xu, Y., Wang, L., He, J., Bi, Y., Li, M., Wang, T., et al. (2013) Prevalence and Control of Diabetes in Chinese Adults. The Journal of the American Medical Association, 310, 948-959.
https://doi.org/10.1001/jama.2013.168118
[4]  王国凤, 徐宁, 尹冬, 等. 糖尿病周围神经病变的诊断和治疗新进展[J]. 中国全科医学, 2012, 15(15): 1661-1663.
[5]  高越. 糖尿病性眼肌麻痹42例分析[J]. 慢性病学杂志, 2010, 12(5): 447-448.
[6]  Dhume, K.U. and Paul, K.E. (2013) Incidence of Pupillary Involvement, Course of Anisocoria and Ophthalmoplegia in Diabetic Oculomotor Nerve Palsy. Indian Journal of Ophthalmology, 61, 13-17.
https://doi.org/10.4103/0301-4738.99999
[7]  汤正义, 侯瑞芳, 龚慧, 等. 综合分析法诊断糖尿病周围神经病变对其临床特点和发病危险因素的影响[J]. 内科理论与实践, 2007(3): 36-39.
[8]  Koneri, R., Samaddar, S., Simi, S. and Rao, S.T. (2014) Neuroprotective Effect of a Triterpenoid Saponin Isolated from Momordica cymbalaria Fenzl in Diabetic Peripheral Neuropathy. Indian Journal of Pharmacology, 46, 76-81.
https://doi.org/10.4103/0253-7613.125179
[9]  Desai, B., Freeman, E., Huang, E., Hung, A., Knapp, E., Breunig, I.M., et al. (2014) Clinical Value of Tapentadol Extended-Release in Painful Diabetic Peripheral Neuropathy. Expert Review of Clinical Pharmacology, 7, 203-209.
https://doi.org/10.1586/17512433.2014.889562
[10]  Wiggint, D., Popbusui, R., Sullivan, K.A., et al. (2009) Elevated Triglycerides Correlate with Progression of Diabetic Neuropathy. Diabetes, 58, 1634-1640.
https://doi.org/10.2337/db08-1771
[11]  闫朝春. ET、VEGF、IL-6、TNF-α在DM2中作用机制的临床分析[J]. 放射免疫学杂志, 2010, 23(2): 148-150.
[12]  Luppi, P., Cifarelli, V. and Wahren, J. (2011) C-Peptide and Long-Term Complications of Diabetes. Pediatric Diabetes, 12, 276-29.2
https://doi.org/10.1111/j.1399-5448.2010.00729.x
[13]  Sima, A.A.F., Zhang, W., Sugimoto, K., Henry, D., Grunberger, G., et al. (2001) C-Peptide Prevents and Improves Chronic Type I Diabetic Polyneuropathy in the BB/Wor Rat. Diabetologia, 44, 889-897.
https://doi.org/10.1007/s001250100570
[14]  Kasznicki, J., Kosmalski, M., Sliwinska, A., Mrowicka, M., Stanczyk, M., Majsterek, I. and Drzewoski, J. (2012) Evaluation of Oxidative Stress Markers in Pathogenesis of Diabetic Neuropathy. Molecular Biology Reports, 39, 8669-8678.
https://doi.org/10.1007/s11033-012-1722-9
[15]  李婷, 陈旭辉, 张玥, 等. 糖尿病周围神经病变及痛性糖尿病神经病变机制新方向[J]. 中国疼痛医学杂志, 2019, 25(9): 643-647.
[16]  Gumy, L.F., Bampton, E.T.W. and Tolkovsky, A.M. (2008) Hyperglycaemia Inhibits Schwann Cell Proliferation and Migration and Restricts Regeneration of Axons and Schwann Cells from Adult Murine DRG. Molecular & Cellular Neuroscience, 37, 298-311.
https://doi.org/10.1016/j.mcn.2007.10.004
[17]  夏群, 关航, 张伟, 张文菊, 等. 糖尿病性眼肌麻痹32例分析[J]. 中华眼科杂志, 1997(3): 76.
[18]  绳伟东, 高秀环. 糖尿病性眼肌麻痹28例分析[J]. 中国实用医药, 2008, 3(6): 17.
[19]  迟家敏. 实用糖尿病学[M]. 北京: 人民卫生出版社, 2009: 506.
[20]  张丕逊, 曾嵘, 陈丽珍. 单侧动眼神经麻痹67例分析[J]. 疑难病杂志, 2003, 2(1): 37.
[21]  Yokosako, S., Kikkawa, Y., Takeda, R., Ikeda, T. and Kurita, H. (2017) Oculomotor Nerve Palsy in a Patient with a Ruptured Middle Cerebral Artery Aneurysm. The Journal of Medical Investigation, 64, 165-167.
https://doi.org/10.2152/jmi.64.165
[22]  Lajmi, H., Hmaied, W., Ben Jalel, W., Chelly, Z., Ben Yakhlef, A., Ben Zineb, F. and El Fekih, L. (2017). Oculomotor Palsy in Diabetics. Journal Fran？ais d’Ophtalmologie, 41, 45-49.
https://doi.org/10.1016/j.jfo.2017.06.010
[23]  罗霄鹏, 包正军. 单侧动眼神经麻痹30例病因分析[J]. 脑与神经疾病杂志, 2005, 13(3): 229.
[24]  Chen, Y., Thyparampil, P.J., Yen, M.T. and Coats, D.K. (2016) Medial Rectus Muscle Anchoring in Complete Oculomotor Nerve Palsy. Journal of American Association for Pediatric Ophthalmology and Strabismus, 20, 284-285.
https://doi.org/10.1016/j.jaapos.2015.11.013
[25]  Zu, Q.Q., Liu, X.L., Wang, B., Zhou, C.G., Xia, J.G., Zhao, L.B., et al. (2017) Recovery of Oculomotor Nerve Palsy after Endovascular Treatment of Ruptured Posterior Communicating Artery Aneurysm. Neuroradiology, 59, 1165-1170.
https://doi.org/10.1007/s00234-017-1909-9
[26]  庄文锦, 程琼, 汪银洲, 等. 单纯性动眼神经麻痹72例临床及影像学分析[J]. 中外医学研究, 2012(26): 126-127.
[27]  贾起华. 老年糖尿病动眼神经麻痹11例临床分析[J]. 河南职工医学院学报, 2007, 19(1): 39-40.
[28]  周秧, 廖利珍. 糖皮质激素在2型糖尿病并动眼神经麻痹患者中的应用[J]. 中国热带医学, 2010, 10(11): 1405-1406.
[29]  赵琴, 段安明. 糖尿病性动眼神经麻痹误诊误治分析[J]. 临床误诊误治, 2007, 20(11): 84-85.
[30]  张康羿, 胡勤锦, 闫振成. 2型糖尿病引起动眼神经麻痹的病例报道[J]. 职业卫生与病伤, 2018, 33(6): 389-391.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133