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病人李×,男、69岁,退休工人,住院号68166,主诉左眼丧失视力19天,伴剧烈头痛及眼痛。1983年12月12日以急性闭角性青光眼(绝对期)收住院。家族史无特殊。过去史:1981年2月因冠心病(急性心内膜下心肌梗死)及高血压Ⅱ期住我院内科。1982年4月2日因左眼视力下降6个月来门诊。当时查视力右眼0.8,左眼0.1,右眼底有动脉硬化改变,左眼底布满片点状出血,诊断为网膜中央静脉栓塞。此次入院检查:全身情况尚佳,血压170/110,视力右眼0.8,左眼无光感。右眼瞳孔正常,晶体皮质轻度混浊,眼底视乳头正常,A:V为1:2,现A—V压迹Ⅰ级。左眼混合充血,角膜水肿,瞳孔直径约5mm,光反射消失,其余眼内组织看不清。眼压右眼17mmHg,左眼81mmHg,经静滴高渗剂、口服醋唑磺胺,匹罗
Patient Li ×, male, 69 years old, retired worker, hospital number 68166, complained of loss of sight 19 days left with severe headache and eye pain. December 12, 1983 to acute angle closure glaucoma (absolute) admission hospital. No special family history. Past history: February 1981 due to coronary heart disease (acute subendocardial myocardial infarction) and hypertension in our hospital. April 2, 1982 because of left eye vision decreased 6 months to clinic. At that time visual acuity of the right eye 0.8, left eye 0.1, the right fundus with atherosclerotic changes, the left eye at the end of a piece of punctate bleeding, diagnosis of central retinal vein occlusion. The admission examination: the body condition is still good, blood pressure 170/110, right eye 0.8, left eye no light feeling. Right eye pupil normal, mild cortical opacity, normal ocular fundus, A: V is 1: 2, now A-V pressure level Ⅰ. Mixed left eye congestion, corneal edema, the pupil diameter of about 5mm, light reflex disappeared, the remaining eye tissue can not see clearly. Intraocular pressure right eye 17mmHg, left eye 81mmHg, intravenous hypertonic agent, oral acetazolamide,