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患者,女性20岁,81年10月因头痛、头晕、乏力、食欲不振,视物不清,在某医院诊断为颅咽管瘤行手术治疗。术后一周拆线刀口愈合尚好而出院,出院后头痛消失,视力恢复正常,能参加一般农业生产。于82年又出现头痛、头晕、恶心呕吐,右眼视物不清,诊断为颅咽管瘤术后复发来我院治疗。查体:体温37℃,脉搏82次/分,血压120/80,神清,语明,颅神经见眼球向左侧活动受限。左眼失明,右眼视力0.3,眼底视神经乳头苍白,边界
Patients, female 20 years old, 81 years in October due to headache, dizziness, fatigue, loss of appetite, blurred vision, a diagnosis of craniopharyngioma surgery in a hospital. One week after surgery, suture removal is still good and discharged, headache disappeared after discharge, visual acuity returned to normal, to participate in general agricultural production. In 82 and headache, dizziness, nausea and vomiting, blurred vision of the right eye, diagnosis of craniopharyngioma recurrence to our hospital for treatment. Physical examination: body temperature 37 ℃, pulse 82 beats / min, blood pressure 120/80, Shen Qing, language, cranial nerve see the left eye movement is limited. Left eye blindness, right eye vision 0.3, fundus optic disc pale, border