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患者女,40岁,干部,于1991年6月12日入院。自述一年前,突发高热、流涕,全身关节疼痛,左眼睑肿胀,于我院治疗一个月,病情好转出院,继续消炎,激素治疗,病情稳定。近一周因停用上述药物,左眼上睑肿胀,有包块,再次入院治疗。否认既往眼疾史。入院查体:一般情况可,头颅、胸、腹,未发现明显异常,四肢关节无畸形,活动正常。眼科检查,双眼视力1.2,左眼上睑外上方皮肤种胀触及一约蚕豆大小之肿物,质中等度硬,有触痛,活动性差,眼睑闭合正常,屈光间质透明,眼底未见异常,右眼正常。实验室检查:血尿常规化验,胸透检查均正常,血沉10mm/h,抗“O”400单位,心电图正常,左眼正侧位X光照像,未见骨质破坏。诊断:左眼慢性泪腺炎。给予青霉素800万单位,地塞米松10mg,每日一次静点,消炎治疗20天,改土霉素0.5％,一日四次口服,地塞米松4.5mg一日一次口服,左眼上睑肿胀减轻、泪腺部肿长由蚕豆大缩小至黄豆粒大,继续治疗二个月,左眼上睑肿块始
Female patient, 40 years old, cadre, was admitted on June 12, 1991. A year ago, a sudden high fever, runny nose, joint pain, swelling of the left eyelid, in our hospital for a month, condition improved discharge, continue anti-inflammatory, hormone therapy, stable condition. Nearly a week because of the withdrawal of the above drugs, left eye lid swelling, a mass, re-admission treatment. Denied previous history of eye disease. Admission examination: The general situation can be, skull, chest, abdomen, no significant abnormalities, limb deformity without deformity, normal activity. Eye examination, binocular visual acuity 1.2, upper left upper eyelid skin swollen reach about a tumor of about the size of broad beans, medium moderate hardness, tenderness, poor mobility, closed eyelid normal, refractive interstitial transparent, fundus Abnormal, right eye is normal. Laboratory tests: hematuria routine examination, chest X-ray examination were normal, erythrocyte sedimentation rate 10mm / h, anti “O” 400 units, normal ECG, left eye is lateral X-ray images, no bone destruction. Diagnosis: Left eye chronic lacrimal gland inflammation. Give penicillin 8000000 units, dexamethasone 10mg, once a day static point, anti-inflammatory treatment for 20 days, oxytetracycline 0.5%, four times a day orally, dexamethasone 4.5mg once daily oral administration, left eye swelling Reduce, lacrimal gland swelling from broad beans reduced to soybeans large, continue treatment for two months, the left eye upper eyelid mass