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患者张××男30岁教师住院号243542 1985年1月25日以右眼视力模糊,眼前闪光感二月之主诉,门诊以右眼视网膜裂孔之诊断收住院。患者左眼因视网膜脱离曾于8个月前在某院行网膜复位术,术后视力不佳。全身检查无异常发现,血压120/80mmHg,眼部检查,右视力0.2,针孔不增进,矫正0.4,外眼无异常,瞳孔药物性散大约6mm,有光反应,晶体透明,玻璃体内可见点状及絮状混浊。但无色
Zhang × × male 30-year-old teacher hospital number 243542 January 25, 1985 to the right eye blurred vision, flash of light in front of February complaints, outpatient diagnosis of retinal holes in the right eye hospital admission. Patients with left eye due to retinal detachment in a hospital 8 months ago, omental resection, poor visual acuity. No abnormalities were found in the whole body examination. Blood pressure 120 / 80mmHg, eye examination, right visual acuity 0.2, no increase of pinhole, correction of 0.4, no abnormality of external eye, about 6mm of pupil medicine scattered, bright reaction, crystal clear, vitreous visible Like and flocculent turbidity. But colorless