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患者,男,61岁,因双眼视力下降6月于1991年7月9日入院。6月来自觉双眼视力逐渐下降,以左侧明显,同时发现左眼颞侧视野受限,致左肩常撞人碰物。近2月来感头痛,头昏,但无抽搐、呕吐、多尿、多饮等病史,有食火锅之生活史。检查:神清合作,自动体位,全身皮肤未扪及皮下结节。双侧瞳孔圆形等大,光反应正常,右眼视力0.6,左眼0.4,视野检查发现左眼颞侧偏盲,双侧眼底视乳突轻度水肿。余检查无异常发现,血液化验无嗜酸细胞。大便检查亦未发现虫卵及节片,头部CT 显示鞍内高密度影。临床诊断为垂体腺瘤。于1991年7月15日在全麻下冠状切口,右
The patient, male, 61 years old, was admitted to hospital on July 9, 1991 due to a decline in binocular vision in June. In June, the visual acuity from both eyes gradually decreased, and the left side was obviously visible. At the same time, it was found that the visual field of the left eye was limited, causing the left shoulder to collide with people. In the past 2 months, I experienced headaches and dizziness, but I had no history of convulsions, vomiting, polyuria, and more drinks, and I had a history of eating hotpots. Check: Shen Qing cooperation, automatic position, full body skin and subcutaneous nodules. The bilateral pupils were round and equal, the light response was normal, the visual acuity of the right eye was 0.6, and the left eye was 0.4. Visual field examination revealed that the left eye was temporally hemianopsia, and the bilateral fundus was slightly edematous. I found no abnormal findings, blood tests without eosinophils. No eggs and nodules were found in the stool examination. Head CT showed high-density images in the saddle. Clinical diagnosis is pituitary adenoma. The coronary incision under general anesthesia on July 15, 1991, right