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例1 宋××男64岁门诊号010183 右眼突然胀痛3天,右侧头痛、恶心。1983年5月11日就诊。1973年右眼曾因白内障行针拨术,术后情况一直良好。视力右眼手动/眼前,左眼0.4。左眼除晶状体显未成熟期白内障收变外,其余正常。右眼睑肿胀,睫状充血(+),角膜水肿,KP(-),前房深,房水中见有点、絮状混浊物,下部前房有片状及乳浊样混浊物,跨过下方连瞳孔缘接房。虹膜震颤,纹理不清。瞳孔中等椭圆形散大、上移,光反应消失。从上方彻照,见瞳孔后下方一团烟幕状混浊物,上方显乳浊状,向下渐为棕黄色,眼底不能窥入。眼压右39.59mmHg,左14.57mmHg。诊断右眼晶状体溶解性青光眼。因患者不同意手术,给予口服乙酰唑
Example 1 Song × × male 64-year-old outpatient number 010183 Right eye suddenly pain for 3 days, the right headache, nausea. May 11, 1983 visit. Right eye in 1973 due to cataract needle dialysis, postoperative condition has been good. Eyes right eye manual / immediate, left eye 0.4. The left eye except the lens showed immature cataract, the rest of the normal. Right eyelid swelling, ciliary congestion (+), corneal edema, KP (-), anterior chamber deep, aqueous humor see a little, flocculent opacity, the lower anterior chamber flaky and opalescent opacity, across the lower even with Pupil edge of the room. Iris tremor, unclear texture. Pupil middle oval-shaped, up, light reaction disappeared. Taken from the top, see the bottom of the pupil behind a group of smoke-like opacity, opalescence opalescence above, gradually down to brown, the fundus can not see. Intraocular pressure right 39.59mmHg, left 14.57mmHg. Diagnosis of right eye lens dissolve glaucoma. Because patients do not agree with the surgery, given oral acetazolamide