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1.病例介绍 例1,男50岁,因左侧颞颌关节功能紊乱综合征在某院行左颞颌关节局部注射2.5%强的松龙0.5ml,数分钟后恶心呕吐、头晕心慌,视物不清,当即平卧休息。次晨发现左眼视物不见来我院。检查:全身未见异常。眼部:右眼视力1.2,左眼无光感。右眼正常,左眼瞳孔散大约6mm,直接对光反射消失,间接对光反射迟钝,视网膜动脉呈铜丝状,视网膜后极部灰白色水肿,黄斑呈樱桃红。诊断:左眼视网膜中央动脉阻塞。给妥拉苏林球后注射,舌下含硝酸甘油,并吸氧、低分子
1. Case description Example 1, male 50 years old, due to left temporomandibular joint dysfunction syndrome in a hospital left temporomandibular joint local injection of 2.5% prednisolone 0.5ml, a few minutes after nausea and vomiting, dizziness, palpitation, visual Things are not clear, immediately lying to rest. The next morning I found my left eye sight to our hospital. Check: the whole body no exception. Eye: Right eye vision 1.2, left eye no light feeling. The right eye is normal, the left eye pupil scattered about 6mm, the direct reflection of light disappear, indirect light reflex slow, retinal artery was copper wire, retinal pole gray edema, macular was cherry red. Diagnosis: Left central retinal artery occlusion. Give to Tora Su Su ball after injection, sublingual nitroglycerin, and oxygen, low molecular weight