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患者杨某,男,60岁,住院号91286。右眼被木块弹伤,高度视力障碍,伴眼球胀痛且厌食两周,于1999年6月10日来院门诊,诊为“外伤性晶体脱位”、“继发性青光眼”。给0.5%庆大霉素、0.5%可的松对、0.5%塞吗心安眼水滴眼,乙酰唑胺250mg,氯化钾1g,每日两次,口服4天,眼部症状好转,视力指数1/米,可见脱位于玻璃体内的晶状体,未作特殊处理。6月18日,右眼突然剧痛伴呕吐3次,急诊收入院观察。患者以往健康,自幼体形瘦小,否认一切病史,从未投医。体格检查:营养、精神及皮肤弹性差,消瘦貌,头颅、胸腹未发现明显异常,血压113/68mmHg。眼科检查:右眼视力手动/眼前,混合性充
Yang patients, male, 60 years old, hospital number 91286. Right eye was bullet injury, a high degree of visual impairment, with eye pain and anorexia for two weeks, on June 10, 1999 came to hospital, diagnosed as “traumatic dislocation of the crystal,” “secondary glaucoma” . Give 0.5% gentamycin, 0.5% cortisone pair, 0.5% Cyprinozan eyedrops, acetazolamide 250mg, potassium chloride 1g, twice daily, orally for 4 days, the eye symptoms improved, visual acuity index 1 / m, visible dislocation in the vitreous body, without special treatment. June 18, sudden pain with right eye with vomiting 3 times, emergency hospital observation. In the past, the patients were healthy and had a small body shape. They denied all medical history and never received medical treatment. Physical examination: nutrition, mental and skin elasticity is poor, weight loss, skull, chest and abdomen found no significant abnormalities, blood pressure 113 / 68mmHg. Eye examination: Right eye vision manual / immediate, mixed charge