霍纳综合征的临床表现有那些 什么叫Horner综合征？
\u4ec0\u4e48\u662fHorner\u7efc\u5408\u5f81Horner\u7efc\u5408\u5f81\u53c8\u53eb\u9888\u4ea4\u611f\u795e\u7ecf\u7efc\u5408\u5f81\uff0c\u662f\u7531\u4e8e\u4ea4\u611f\u795e\u7ecf\u4e2d\u67a2\u81f3\u773c\u90e8\u7684\u901a\u8def\u4e0a\u53d7\u5230\u4efb\u4f55\u538b\u8feb\u548c\u7834\u574f\uff0c\u5f15\u8d77\u77b3\u5b54\u7f29\u5c0f\u3001\u773c\u7403\u5185\u9677\u3001\u4e0a\u7751\u4e0b\u5782\u53ca\u60a3\u4fa7\u9762\u90e8\u65e0\u6c57\u7684\u7efc\u5408\u5f81\u3002\u636e\u53d7\u635f\u90e8\u4f4d\u53ef\u5206\u4e3a\u4e2d\u67a2\u6027\u969c\u788d\u3001\u8282\u524d\u969c\u788d\u53ca\u8282\u540e\u969c\u788d\u7684\u635f\u5bb3\u3002
\u4e34\u5e8a\u8868\u73b0\u4e3a\uff1a
1\u3001\u77b3\u5b54\u7f29\u5c0f\uff1a\u662f\u970d\u7eb3(Horner)\u7efc\u5408\u5f81\u7684\u4e3b\u8981\u4f53\u5f81\uff0c\u7531\u4e8e\u75c5\u4fa7\u77b3\u5b54\u5f00\u5927\u808c\u762b\u75ea\uff0c\u81f4\u4f7f\u4e24\u4fa7\u77b3\u5b54\u4e0d\u7b49\u5927\uff0c\u5728\u9ed1\u6697\u5904\u6216\u8f83\u660e\u4eae\u5904\u66f4\u663e\u8457\uff0c\u8fd9\u662f\u56e0\u4e3a\u77b3\u5b54\u62ec\u7ea6\u808c\u4e0d\u762b\u75ea\uff0c\u6240\u4ee5\u4e8e\u660e\u4eae\u5904\u4e24\u4fa7\u77b3\u5b54\u90fd\u7f29\u5c0f\u800c\u4e0d\u6613\u8fa8\u8ba4\u3002
2\u3001\u7751\u88c2\u53d8\u5c0f\uff1a\u662f\u970d\u7eb3(Horner)\u7efc\u5408\u5f81\u4e2d\u4ec5\u6b21\u4e8e\u77b3\u5b54\u7f29\u5c0f\u7684\u91cd\u8981\u75c7\u5019\u3002\u7751\u88c2\u53d8\u5c0f\uff0c\u65e9\u671f\u660e\u663e\u3002\u7531\u7751\u677f\u808c\u9ebb\u75f9\uff0c\u4e0a\u7751\u8f7b\u5ea6\u4e0b\u5782\u5f15\u8d77\u3002\u6b64\u65f6\u4e0b\u7751\u4e5f\u53ef\u4f34\u6709\u8f7b\u5ea6\u4e0a\u5347\u3002\u901a\u8fc7\u4e0e\u5bf9\u4fa7\u7751\u88c2\u4f5c\u6bd4\u8f83\uff0c\u53ef\u4ee5\u5f97\u77e5\u4e0a\u7751\u4e0b\u5782\u3002\u4e5f\u53ef\u901a\u8fc7\u89c2\u5bdf\u89d2\u819c\u4e0a\u7f18\u88ab\u906e\u76d6\u7684\u7a0b\u5ea6\u800c\u786e\u5b9a\u3002\u5224\u5b9a\u4e0b\u7751\u662f\u5426\u4e0a\u5347\uff0c\u53ef\u5631\u60a3\u8005\u5411\u4e0a\u51dd\u89c6\uff0c\u6b64\u65f6\u5728\u970d\u7eb3(Horner)\u7efc\u5408\u5f81\u4fa7\u4e0b\u65b9\u5de9\u819c\u5e26\u8f83\u7a84\u3002
3\u3001\u773c\u7403\u540e\u9677\uff1a\u5e38\u8ba4\u4e3a\u662f\u970d\u7eb3(Horner)\u7efc\u5408\u5f81\u4e09\u5927\u75c7\u4e4b\u4e00\uff0c\u53ef\u80fd\u4e0e\u7736\u808c\u762b\u75ea\u6709\u5173\uff0c\u4f46\u5982\u524d\u6240\u8ff0\uff0c\u4eba\u7684\u7736\u808c\u6b63\u8d8b\u9000\u5316\uff0c\u4f5c\u7528\u5fae\u5f31\uff0c\u6240\u4ee5\u773c\u7403\u540e\u9677\u662f\u7751\u88c2\u7f29\u5c0f\u6240\u5f15\u8d77\u7684\u5047\u8c61\uff0c\u5e76\u975e\u771f\u6b63\u540e\u9677\uff0c\u8fd9\u5728\u6d4b\u91cf\u773c\u7403\u7684\u4f4d\u7f6e\u65f6\u53ef\u5f97\u5230\u8bc1\u5b9e\u3002
4\u3001\u540c\u4fa7\u9762\u90e8\u76ae\u80a4\u8840\u7ba1\u6269\u5f20(\u9762\u90e8\u6f6e\u7ea2)\u548c\u65e0\u6c57\uff1a\u5206\u5e03\u5230\u9762\u90e8\u76ae\u80a4\u8840\u7ba1\u548c\u6c57\u817a\u7684\u4ea4\u611f\u795e\u7ecf\u7ea4\u7ef4\u4e0e\u652f\u914d\u77b3\u5b54\u5f00\u5927\u808c\u7684\u7ea4\u7ef4\u7684\u5f84\u8def\u57fa\u672c\u76f8\u4f3c\uff0c\u5747\u7ecf\u9888\u4ea4\u611f\u5e72\u548c\u9888\u4e0a\u795e\u7ecf\u8282\uff0c\u4f46\u6709\u4eba\u8ba4\u4e3a\u5b83\u4eec\u5728\u8111\u5e72\u548c\u810a\u9ad3\u5185\u7684\u5f84\u8def\u4ee5\u53ca\u6700\u540e\u81f3\u672b\u68a2\u7684\u5f84\u8def\u5e76\u4e0d\u5b8c\u5168\u76f8\u540c\uff0c\u6240\u4ee5\u53ef\u51fa\u73b0\u5206\u79bb\u6027\u75c7\u72b6\uff0c\u5373\u77b3\u5b54\u7f29\u5c0f\uff0c\u4f46\u65e0\u9762\u90e8\u6f6e\u7ea2\u548c\u65e0\u6c57\u3002
5\u3001\u9664\u773c\u90e8\u4f53\u5f81\u5916\uff0c\u60a3\u8005\u5e38\u4f34\u6709\u9888\u690e\u75c5\u53ca\u690d\u7269\u795e\u7ecf\u529f\u80fd\u7d0a\u4e71\u7684\u75c7\u72b6\u3002\u5982\u5934\u75db\u3001\u5934\u6655\u3001\u9888\u90e8\u75bc\u75db\u3001\u5fc3\u614c\u3001\u5fc3\u5f8b\u4e0d\u9f50\u7b49\u3002
\u6269\u5c55\u8d44\u6599\uff1a
Horner\u7efc\u5408\u5f81\u7684\u75c5\u56e0
1\u3001\u6700\u5e38\u89c1\u5bfc\u81f4Horner\u7efc\u5408\u5f81\u7684\u75c5\u56e0\u662f\u9888\u52a8\u8109\u5939\u5c42\uff0c\u53ef\u4ee5\u662f\u81ea\u53d1\u6027\u7684\uff0c\u4e5f\u53ef\u4ee5\u662f\u7531\u4e8e\u9888\u90e8\u5c40\u90e8\u521b\u4f24\u6240\u81f4\u3002\u810a\u67f1\u6309\u6469\u662f\u9888\u5185\u52a8\u8109\uff08ICA\uff09\u5939\u5c42\u7684\u4e00\u4e2a\u72ec\u7acb\u5371\u9669\u56e0\u7d20\uff0c\u5176\u6240\u81f4\u7684\u5352\u4e2d\u4e5f\u662f\u4e00\u4e2a\u5177\u6709\u4e89\u8bae\u6027\u7684\u8bdd\u9898\u3002
\u76ee\u524d\u5df2\u6709\u591a\u4f8b\u56e0\u810a\u67f1\u6309\u6469\u5bfc\u81f4ICA\u5939\u5c42\u6240\u81f4Horner\u7efc\u5408\u5f81\u7684\u62a5\u9053\u3002\u672c\u4f8b\u60a3\u8005\u5e76\u4e0d\u8003\u8651ICA\u5939\u5c42\uff1b\u56e0\u4e3a\u60a3\u8005\u540c\u65f6\u51fa\u73b0\u663e\u8457\u7684\u653e\u5c04\u6027\u81c2\u4e1b\u795e\u7ecf\u75db\uff0c\u4e14\u9888\u90e8\u7684CT\u8840\u7ba1\u9020\u5f71\u6392\u9664\u4e86\u5939\u5c42\u53ef\u80fd\u3002
2\u3001\u4e0d\u4f34\u6709\u9762\u90e8\u65e0\u6c57\u662f\u8282\u540e\u6027\u75c5\u7076\u6216T1\u795e\u7ecf\u6839\u8282\u524d\u6027\u4ea4\u611f\u795e\u7ecf\u75c5\u7076\u7684\u4e00\u4e2a\u5f81\u8c61\uff0c\u7531\u4e8e\u4fc3\u6ccc\u6c57\u795e\u7ecf\u7ea4\u7ef4\u5728\u9888\u52a8\u8109\u5206\u53c9\u6c34\u5e73\u5c31\u4e0e\u9888\u52a8\u8109\u4e1b\u5206\u5f00\uff0c\u5e76\u4e14\u5176\u5b58\u5728\u4e8eT2-T3\u8282\u6bb5\u6c34\u5e73\u7684\u810a\u9ad3\u4e2d\u3002\u56e0\u6b64\uff0c\u9700\u8981\u6ce8\u610f\u56e0T1\u795e\u7ecf\u6839\u6c34\u5e73\u75c5\u7076\u5bfc\u81f4\u7684\u7f55\u89c1\u90e8\u5206Horner\u7efc\u5408\u5f81\u7684\u60c5\u51b5\u3002
3\u3001Horner\u7efc\u5408\u5f81\u4e0e\u540c\u4fa7\u4e0a\u80a2\u75bc\u75db\u3001\u65e0\u529b\u7b49\u75c7\u72b6\u540c\u65f6\u51fa\u73b0\u5219\u7b26\u5408\u80ba\u4e0a\u6c9f\u7624\u7efc\u5408\u5f81\u7684\u8bca\u65ad\u6807\u51c6\uff0c\u63d0\u793a\u80ba\u5c16\u5904\u7684\u6076\u6027\u80bf\u7624\u53ef\u80fd\u540c\u65f6\u7d2f\u53ca\u4ea4\u611f\u795e\u7ecf\u5e72\u4ee5\u53ca\u81c2\u4e1b\u4e0b\u5e72\u3002
\u7136\u800c\u901a\u8fc7\u80ba\u90e8\u7684X\u7ebf\u68c0\u67e5\u6392\u9664\u4e86\u80ba\u90e8\u75c5\u7076\u3002\u63a5\u4e0b\u6765\u8fdb\u884c\u7684\u795e\u7ecf\u7535\u751f\u7406\u68c0\u67e5\u663e\u793a\u524d\u81c2\u5185\u4fa7\u76ae\u795e\u7ecfSAP\u6b63\u5e38\uff0c\u4e0e\u8282\u524d\u795e\u7ecf\u6839\u6027\u75c5\u7076\u76f8\u4e00\u81f4\uff0cMRI\u4e5f\u8bc1\u5b9e\u4e86\u8fd9\u4e00\u70b9\u3002\u5982\u679c\u662f\u80ba\u4e0a\u6c9f\u7624\u7d2f\u53ca\u81c2\u4e1b\u795e\u7ecf\u4e0b\u5e72\u7684\u8bdd\uff0cSAP\u5e94\u8be5\u51cf\u5f31\u6216\u6d88\u5931\u3002
\u77b3\u5b54\u836f\u7269\u8bd5\u9a8c\u53ef\u7528\u4e8e\u8bc1\u5b9e\u662f\u5426\u51fa\u73b0Horner\u7efc\u5408\u5f81\uff0c\u5e76\u6709\u52a9\u4e8e\u773c\u4ea4\u611f\u795e\u7ecf\u901a\u8def\u4e0a\u75c5\u7076\u7684\u5b9a\u4f4d\u3002\u53ef\u5361\u56e0\u662f\u4e00\u79cd\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u518d\u6444\u53d6\u6291\u5236\u5242\uff0c\u5982\u679c\u7528\u4e8e\u8679\u819c\u5f00\u5927\u808c\u5931\u53bb\u4ea4\u611f\u795e\u7ecf\u652f\u914d\u7684\u60a3\u8005\u4e2d\uff0c\u5c06\u4e0d\u4f1a\u8bf1\u5bfc\u77b3\u5b54\u653e\u5927\u53cd\u5e94\uff0c\u8bc1\u5b9e\u786e\u5b9e\u5b58\u5728Horner\u7efc\u5408\u5f81\u3002
4\u3001\u53e6\u4e00\u65b9\u9762\uff0c\u5c40\u90e8\u6ce8\u5c04\u7f9f\u57fa\u82ef\u4e59\u80fa\uff0c\u53ef\u901a\u8fc7\u4fc3\u8fdb\u7a81\u89e6\u524d\u795e\u7ecf\u672b\u68a2\u80be\u4e0a\u817a\u7d20\u91ca\u653e\u5bfc\u81f4\u77b3\u5b54\u653e\u5927\u53cd\u5e94\u3002\u53ea\u6709\u5f53\u8282\u540e\u795e\u7ecf\u5143\uff08\u7b2c\u4e09\u7ea7\u795e\u7ecf\u5143\uff09\u5b8c\u6574\u65f6\uff0c\u8be5\u53cd\u5e94\u624d\u4f1a\u51fa\u73b0\uff0c\u56e0\u6b64\u53ef\u4ee5\u7528\u4e8e\u9274\u522b\u4e2d\u67a2\u6027\u3001\u8282\u524d\u6027\u4ee5\u53ca\u8282\u540e\u6027\u75c5\u7076\u3002
5\u3001\u4e2d\u67a2\u6027Horner\u7efc\u5408\u5f81\u662f\u7531\u4e8e\u8111\u5e72\u90e8\u4f4d\u5352\u4e2d\u6240\u81f4\uff0c\u6bd4\u5982Wallenberg\u7efc\u5408\u5f81\u3002\u5176\u901a\u5e38\u5f88\u5c11\u4e0e\u5916\u5468\u6027\u75c5\u56e0\u76f8\u6df7\u6dc6\uff0c\u7531\u4e8e\u5176\u5e38\u5408\u5e76\u4e00\u4e9b\u5176\u4ed6\u8868\u73b0\u53ef\u63d0\u793a\u4e3a\u8111\u5e72\u635f\u4f24\uff0c\u5305\u62ec\u773c\u9707\u3001\u5206\u79bb\u6027\u7684\u611f\u89c9\u969c\u788d\u4ee5\u53ca\u540c\u4fa7\u5c0f\u8111\u75c7\u72b6\u3002
\u53c2\u8003\u8d44\u6599\u6765\u6e90\uff1a\u767e\u5ea6\u767e\u79d1-Horner\u7efc\u5408\u75c7
Horner\u7efc\u5408\u5f81\u662f\u4e00\u79cd\u75c5\u75c7\uff0c\u53c8\u79f0\u970d\u7eb3\u6c0f\u7efc\u5408\u5f81\uff0c\u8868\u73b0\u4e3a\u77b3\u5b54\u7f29\u5c0f\uff0c\u773c\u7751\u4e0b\u5782\u53ca\u773c\u88c2\u72ed\u5c0f\uff0c\u773c\u7403\u5185\u9677\uff0c\u540c\u4fa7\u989d\u90e8\u65e0\u6c57\u3002\u708e\u75c7\u8005\u8981\u6297\u611f\u67d3\u6cbb\u7597\uff1b\u80bf\u7624\u8005\u884c\u5316\u7597\u3001\u653e\u7597\u3001\u624b\u672f\u7b49\u6cbb\u7597\uff1b\u539f\u53d1\u75c5\u7684\u5bf9\u75c7\u3001\u652f\u63f4\u3001\u589e\u5f3a\u514d\u75ab\u6cbb\u7597\u3002
\u6269\u5c55\u8d44\u6599\uff1a
\u75c5\u56e0
1\u3001\u9888\u90e8\u81f3\u7eb5\u9694\u75c5\u53d8
\u9888\u90e8\u53ca\u4e0a\u80a2\u635f\u4f24\uff0c\u9888\u6df1\u90e8\u67aa\u4f24\u3001\u5200\u4f24\u3001\u9501\u9aa8\u9aa8\u6298\u3001\u80a9\u5173\u8282\u8131\u81fc\uff0c\u8bca\u7597\u8fc7\u7a0b\u4e2d\u5f15\u8d77\u7684\u661f\u5f62\u4ea4\u611f\u795e\u7ecf\u8282\u5207\u9664\uff0c\u4ea4\u611f\u795e\u7ecf\u5207\u9664\uff0c\u4ea4\u611f\u795e\u7ecf\u666e\u9c81\u5361\u56e0\u5c01\u95ed\u672f\uff0c\u9888\u52a8\u8109\u9020\u5f71\u672f\u53ca\u81c2\u4e1b\u795e\u7ecf\u53d7\u635f\u5bb3\u3002
2\u3001\u810a\u9ad3\u75c5\u53d8
\u810a\u9ad3\u7a7a\u6d1e\u75c7\uff0c\u810a\u9ad3\u51fa\u8840\uff0c\u539f\u53d1\u6027\u6216\u8f6c\u79fb\u6027\u810a\u9ad3\u80bf\u7624\uff0c\u591a\u53d1\u6027\u786c\u5316\uff0c\u9888\u690e\u75c5\uff0c\u810a\u67f1\u7ed3\u6838\uff0c\u810a\u9ad3\u708e\u6216\u810a\u9ad3\u524d\u89d2\u7070\u8d28\u708e\uff0c\u6885\u6bd2\u6027\u810a\u9ad3\u75c5\u53d8\u3002
3\u3001\u9885\u5e95\u75c5\u53d8
\u68d8\u5b54\u3001\u5375\u5706\u5b54\u5185\u6ce8\u5165\u9152\u7cbe\uff0c\u8111\u7624\uff0c\u9885\u8111\u5916\u4f24\uff0c\u4e09\u53c9\u795e\u7ecf\u8282\u540e\u5207\u65ad\u672f\uff0c\u5ca9\u9aa8\u708e\uff0c\u4e09\u53c9\u795e\u7ecf\u5e26\u72b6\u75b1\u75b9\u3002
4\u3001\u9885\u5185\u75c5\u53d8
\u690e\u52a8\u8109\u4e0d\u5b8c\u5168\u95ed\u585e\uff0c\u5ef6\u9ad3\u548c\u810a\u9ad3\u7684\u8840\u7ba1\u6027\u75c5\u53d8\uff0c\u5ef6\u9ad3\u7a7a\u6d1e\u75c7\uff0c\u5ef6\u9ad3\u80bf\u7624\uff0c\u8111\u708e\u3001\u591a\u53d1\u6027\u786c\u5316\u7b49\u3002
\u53c2\u8003\u8d44\u6599\u6765\u6e90\uff1a\u767e\u5ea6\u767e\u79d1-Horner\u7efc\u5408\u75c7
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绛旓細銆婄缁忓銆嬬浜岀珷绗竴鑺傘闇嶇撼缁煎悎寰(鎵灞炵珷鑺:绗簩绔犵涓鑺,闅惧害:3銆傞湇绾崇患鍚堝緛鍙堝悕棰堜氦鎰熺缁忛夯鐥圭患鍚堝緛銆傜梾鍙樻崯瀹充簡棰堜笂浜ゆ劅绁炵粡寰勮矾鍙婅剳骞茬綉鐘剁粨鏋勭殑浜ゆ劅绁炵粡绾ょ淮銆涓村簥琛ㄧ幇涓:鐬冲瓟缂╁皬,涓婄溂鐫戜笅鍨傚強鐪艰鍙樺皬,鐪肩悆鍑归櫡,鍙即鍚屼晶棰滈潰灏戞睏鎴栨棤姹椼
绛旓細銆愮瓟妗堛戯細D 闇嶇撼缁煎悎寰锛Horner缁煎悎寰锛夋槸鐢变簬浜ゆ劅绁炵粡涓灑鑷崇溂閮ㄧ殑閫氳矾涓婂彈鍒颁换浣曞帇杩拰鐮村潖锛屽紩璧风灣瀛旂缉灏忋佺溂鐞冨唴闄枫佷笂鐫戜笅鍨傦紙鐪艰鍙樺皬锛夊強鎮ｄ晶闈㈤儴鏃犳睏鐨勭患鍚堝緛銆
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