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患儿女8岁患腮腺炎1周,于1992年2月18日因左眼视物不清3天来我院就诊。视力右眼5.0,左眼指数/20cm。左眼睫状充血,角膜弥漫性混浊。裂隙灯下见角膜明显水肿,其厚度约为右角膜的2倍,后弹力层呈纹状混浊。角膜上皮弥漫性点状着色。角膜内皮可见细小KP,房水看不清。隐约可见瞳孔大小正常。眼压右眼2.31KPa,左眼2.19KPa。患儿无外伤史。诊断:腮腺炎并发左眼角膜炎。局部滴病毒唑和氯霉素眼液,用红霉素眼膏及葡维眼水,用1%阿托品散瞳。聚肌胞0.5ml 球结膜下注射,每周2次。口服多种维生素及消炎痛,服中药银翘散,每日一剂。肌肉注射青霉素及抗腮腺炎注
8-year-old children suffering from mumps 1 week, on February 18, 1992 due to left eye visual unclear 3 days to our hospital. Visual right eye 5.0, left eye index / 20cm. Left ciliary congestion, corneal diffuse opacity. See the slit lamp significantly corneal edema, the thickness of about 2 times the right cornea, striae after the elastic layer was cloudy. Corneal epithelial diffuse punctate coloring. Corneal endothelial visible small KP, aqueous humor can not see. Vaguely visible pupil size normal. Intraocular pressure right eye 2.31KPa, left eye 2.19KPa. No history of children with trauma. Diagnosis: Mumps complicated by left eye keratitis. Local drip ribavirin and chloramphenicol eye drops, erythromycin eye ointment and placenta eye drops, with 1% atropine mydriasis. Polymyosin 0.5ml subconjunctival injection twice a week. Oral vitamins and indomethacin, serving traditional Chinese medicine Yinqiao powder, a daily dose. Intramuscular injection of penicillin and anti-parotid note