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患者刘×男20岁住院号105832右眼红肿、疼痛7天,于1990年2月1日入院。全身一般检查正常。视力右5.0,左5.2。右眼睑明显红肿,畏光、流泪,眼睑固定,球结膜高度充血、水肿,结膜血管怒张、纡曲。颞侧球结膜突出于睑裂之外。眼球轻度突出,角膜水肿,粉末状kp(+),丁氏征(+)。瞳孔及眼底正常。诊断:右眼急性眶蜂窝组织炎。全身给予氨苄青霉素、先锋霉素抗炎治疗。10天后,眼部症状明显减轻,但视力下降至4.6,眼底后极部视网膜反光增强,视乳头水肿,隆起2D。黄斑部充血、
Liu × male patient 20 years old hospital number 105832 right eye swelling, pain for 7 days, on February 1, 1990 admission. General examination of the body is normal. Right vision 5.0, left 5.2. The right eyelid was inflamed, photophobia, tearing, eyelid fixed, conjunctival hyperemia, edema, conjunctival vascular distention, Qu song. Temporal bulbous conjunctiva prominent beyond the blepharophimosis. Mild eyeballs, corneal edema, powdered kp (+), Ding sign (+). Pupil and fundus normal. Diagnosis: right eye orbital cellulitis. Whole body to give ampicillin, cephalosporin anti-inflammatory treatment. Ten days later, the ocular symptoms were significantly reduced, but the visual acuity dropped to 4.6, the posterior pole of the retina increased reflex, papilledema, uplift 2D. Macular congestion,