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患者男,13岁。于1991年11月12日被他人用双手紧扼颈部数分钟致昏迷过去,大约10min后自行苏醒。醒后觉全身无力,头晕,恶心,但未呕吐。未行任何治疗,休息后好转。伤后第3天,患者觉双眼视物不清,在本地医院治疗效果不佳,于11月20日来本院就诊。查体无异常。眼部检查:右眼视力0.3,左眼0.4,不能矫正。眼前部无充血,角膜透明,虹膜纹理清,双侧瞳孔等大等圆,光反射灵敏。眼底检查:双眼屈光间质清,双眼视乳头色淡,边界不清。生理凹陷消失。视网膜动脉稍细,静脉扩张迂曲,动静脉之比为1:3。眼视网膜可见大量棉絮状渗出物,颞下方可见少量火焰状出血。黄斑部水肿。可见黄白色点状渗出,中心凹反光消失。入院
Patient male, 13 years old. On November 12, 1991 by others with his hands tight neck a few minutes caused by coma in the past, about 10min wake up. After waking up feeling weak, dizzy, nausea, but not vomiting. No treatment, after the break improved. On the third day after injury, the patient perceived binocular vision was unclear. The treatment in the local hospital was ineffective and came to our hospital on November 20. No abnormalities in the examination. Eye examination: right eye 0.3, 0.4 left eye, can not be corrected. No congestion in front of the cornea transparent, clear iris texture, bilateral pupils and other large circle, light reflection sensitive. Fundus examination: eyes reflex interstitial clear, binocular nipple color, the border is unclear. Physiological depression disappears. Retinal artery slightly thin, tortuous venous expansion, arteriovenous ratio of 1: 3. The retina shows a lot of cotton-like exudate, a small amount of flaming bleeding can be seen below the temporal. Macular edema. Visible yellow-white punctate effusion, foveal disappearance of reflective. Admission