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患男,46岁。因感冒后出现进行性排尿困难半月于1995年4月就诊于当地医院,诊断为“前列腺炎”,经抗炎治疗1周后症状无缓解且明显加重,考虑为“前列腺增生”,准备行前列腺摘除术。术前1d患者感左眼球转动时疼痛明显,左眼视物模糊,故推迟手术时间,继续抗炎2d后右眼突然失明,同时感双下肢麻木感,又诊断为:“癔病性失明”,给扩管、调神经、镇静治疗1周无效而转入我院。患者既往体健,无眼部疾患,视力正常。入院查体:神志清楚,双眼裂等大,双瞳孔等大正圆约3mm,对光反射弱,左眼视力0.06,右眼视力0,双
Male, 46 years old. Progressive dysuria after a cold due to a half months in April 1995 visited a local hospital, diagnosed as “prostatitis”, after anti-inflammatory treatment for 1 week without any symptoms and ease, and significantly increased, considered as “benign prostatic hyperplasia,” to prepare the prostate Enucleation. Preoperative 1d patients with left eye ball rotation pain was obvious, the left eye blurred vision, it delayed the operation time, continuing anti-inflammatory 2d after a sudden loss of sight of the right eye, and sense of numbness of both lower extremities, but also diagnosed as: “hysteria blindness” To expand the tube, tone nerves, sedation 1 week invalid and transferred to our hospital. Past patient health, no eye disorders, normal vision. Admission examination: Conscious mind, eyes and other large split, double pupil and other Taiyuan round about 3mm, light reflection is weak, left eye visual acuity 0.06, right eye visual acuity 0, double