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病历摘要贾××,男,19岁,学生,门诊号9029。因右眼发红、羞明、流泪于1986年11月25日来诊,初诊为急性结膜炎。次日复诊右眼混合性充血,前房新鲜出血覆盖瞳孔,眼压正常。因1周前拆房时有外伤史,故拟诊为右眼钝伤性前房出血。X线检查未见右眼内金属异物阴影,治疗几天未见好转。患者有关节炎史,故想到可能为出血性虹膜炎,即用阿托品散大瞳孔,呈肾形,3点和9点位置瞳孔缘虹膜后粘连,除前房出血外,瞳孔区有白色纤维性渗出物。全身用地塞米松15mg静脉滴注等治疗,5天后,右眼视力0.06,前房出血减少,瞳孔开大7mm,无虹膜后粘连,仅瞳孔区晶体前囊仍有2mm×2mm渗出物沉着,眼
Medical record Jia × ×, male, 19 years old, student, clinic number 9029. Due to the right eye redness, shame, tears came to the clinic on November 25, 1986, newly diagnosed as acute conjunctivitis. The next day the right eye hybrid hyperemia, fresh anterior chamber covered pupils, intraocular pressure normal. 1 week ago because of a history of trauma when demolition, it is diagnosed with right-sided blunt traumatic hyphema. X-ray examination showed no shadow of metal foreign body shadow, the treatment did not improve for a few days. Patient has a history of arthritis, it may be thought hemorrhagic iritis, that is, atropine scattered pupil, kidney-shaped, 3:00 and 9 o’clock position pupillary margin iris adhesions, in addition to anterior chamber bleeding, the pupil area has white fibrous Exudate. Body dexamethasone 15mg intravenous infusion and other treatment, 5 days later, right eye visual acuity 0.06, reduced anterior chamber hemorrhage, open the pupil 7mm, no posterior ileal adhesions, only the pupil area of the crystalline lens anterior 2mm * 2mm exudate is still calm, eye