上睑下垂的诊治思路
封面摄影:邓敏兴老师
神经系统解剖复杂病种繁多,因此同一解剖部位的病变即使症状体征相同但病因可以迥异,不同病因的疾病治疗方法及预后自然就不一样,因此神经系统疾病定性诊断很重要。举两个例子,同样表现为眩晕的患者,有的仅需在门诊简单处理,如耳石症、轻型前庭神经炎、前庭性偏头痛等引起眩晕的良性疾病;而同样表现为孤立性眩晕的后循环缺血就可能很严重,甚至会危及生命,必须急诊入院治疗,因此称其为“恶性眩晕”,门诊医生必须会识别“良”“恶”性眩晕。再比如头痛,可能是睡眠剥夺引起的,也可能是动脉瘤破裂导致的致命性蛛血。因此这些神经系统综合征的鉴别诊断非常重要。
今天不分享病例,和大家一起复习一下神经科常见的症状--上睑下垂,引起上睑下垂的疾病很多,有的是“良性的”,简单处理即可,而有的却是危重疾病的早期表现,漏诊会很危险
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