论文部分内容阅读
病人王××男12岁住院号96117 于85年无明显诱因右眼枧物不清,逐渐加重。同年在当地医院诊断为“白内障”,并行白内障摘除术。术后视力无改善。3个月后。眼球轻度突出,角巩膜缘切口处隆起。曾到某医院诊断为“角巩膜葡萄肿、继发青光眼”。建议做眼球摘除,因家长拒绝而自动出院。90年12月,右眼球明显突出、剧烈疼痛收入我院。患儿神志清醒,四肢软瘫。右眼黑朦,左眼1.0。右眼球明显突出,如核桃大小。球结膜高度水肿、渗血。角膜呈灰白色,眼内情况窥不清。鼻侧角巩膜缘有一肿物。B 超检查显示球内有占位性病变。CT 检查显示右眼球内及球后有占位性病变。骨髓及脑脊液检查正常。术前诊断:“右眼球肿物性质待查,继发青光眼。”于91年1月3日行右眼球摘除术,手术
Patient Wang × × Male 12-year-old hospital number 96117 No obvious incentive in 85 years Right eye 枧 unclear, gradually increased. The same year in the local hospital diagnosed as “cataract”, parallel cataract extraction. No improvement in visual acuity. 3 months later. The eye is slightly prominent, at the edge of the scleral incision bulge. Have to a hospital diagnosed as “corneal scleral swelling, secondary glaucoma.” Recommended for enucleation, due to parental refusal and automatic discharge. 90 years in December, the right eye clearly prominent, severe pain income in our hospital. Children sober, limbs paralysis. Right eye darkness, left eye 1.0. The right eye is clearly prominent, such as walnut size. Bulbar conjunctiva highly edema, oozing. The cornea is gray and white, the situation within the eye can not see clearly. Nasal scleral limbus has a tumor. B-ultrasound showed a space-occupying lesion in the ball. CT examination showed that there is a space-occupying lesion in the right eyeball and the ball. Bone marrow and cerebrospinal fluid examination was normal. Preoperative diagnosis: “the right eye tumor nature to be investigated, secondary glaucoma.” On January 3, 91 OK right eye enucleation, surgery