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患者女,59岁,农民,于1981年1月20日入院。主诉:右眼视力下降伴头痛、恶心、呕吐两天。眼部检查:视力右0.03,左0.7;眼压右81.65mmHg,左17.30mmHg;右眼结膜混合性充血++,呈暗红色,角膜雾状混浊,前房浅,瞳孔散大约5mm。诊断为右眼闭角型青光眼急性发作。住院经过:入院后即给缩瞳剂,碳酸酐酶抑制剂,高渗脱水剂治疗。次日自觉症状明显好转,视力右0.3、眼压右17.30mmHg。右眼结膜混合性充血明显消退,角膜恢复透明,前房稍浅,瞳赤直径4mm。
Female patient, 59 years old, farmer, was admitted on January 20, 1981. Chief Complaint: Decreased visual acuity in right eye with headache, nausea and vomiting for two days. Eye examination: right eye 0.03, left 0.7; intraocular pressure right 81.65mmHg, left 17.30mmHg; right conjunctival hyperemia ++, dark red, corneal haze, anterior chamber shallow, mydriasis about 5mm. Diagnosis of right angle closed-angle glaucoma acute attack. After hospitalization: after admission to the miosis agent, carbonic anhydrase inhibitors, hypertonic dehydration therapy. Subjective symptoms were significantly improved the next day, right eye 0.3, intraocular pressure 17.30mmHg. Right conjunctival hyperemia significantly subsided, corneal recovery transparent, slightly anterior chamber, pupil red diameter 4mm.