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患者,男,26岁。1993年2月6日以双眼视力减退8年之主诉入院。查体:生命体征平稳,颅神经征检查除双眼视力下降(左0.3,右0.2),双颞侧视野缩小,眼底有视乳头水肿改变外余正常,其它神经系统无阳性体征。头颅CT扫描:右桥小脑角低密度影3.5×2.5×1.7cm大小,增强扫描无强化反应。初诊:右桥小脑角胆脂瘤。于1993年2月27日在全麻插管下行经有乳突旁入路肿瘤切除术,术中见肿瘤大部位于右侧桥脑腹侧面,包膜完整,行囊内分块切除,瘤包膜大部切除术,手术顺利。术后病检:胆脂瘤。术后1周左右;神志清醒,饮水呛咳,四肢
Patient, male, 26 years old. February 6, 1993 with binocular vision loss 8 years of main complaint hospitalization. Physical examination: stable vital signs, cranial nerve examination in addition to binocular vision decreased (left 0.3, right 0.2), bilateral temporal vision to reduce the fundus with papilledema outside the normal change, other nervous system no positive signs. CT scan of the skull: Right ventricle cerebellar angle low density 3.5 × 2.5 × 1.7cm size, enhanced scan no enhanced response. New diagnosis: right cerebellopontine cholesteatoma. On February 27, 1993 in general anesthesia intubation via mastoid parataxial tumor resection, surgery, see the tumor in the right side of the pontine most of the ventral surface, complete capsule, intracapsular block removal, tumor package Membrane resection, the operation goes well. Postoperative examination: cholesteatoma. After about 1 week; conscious, drinking cough, limbs