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例一:赵×元,男性,22岁,住院号(58)2149,漁民,山东省羊口市人,于58年8月4日入院。主訴:右眼生一肿块,近年来生长极速,影响看物,且眼瞼不能閉合。据患者听其母說,于出生后六天发現右眼外側微下方的黑眼球边緣处,約有小米粒大之微黄色肿物,曾于滿月后医治无效,且此肿物并随年龄的增长而逐漸增大,近一年来生长尤快,致使目力受到影响,眼瞼不能閉合,迎风流泪,病眼微紅,羞明及輕度疼痛,曾用一般方法試治无效。眼部未受过外伤,自幼务农,近三年出海捕魚,有烟酒嗜好。家族史中未詢知有关遺传方面的眼部疾病。体格检查:除眼部疾患外无其他異常发現,全身皮肤也未发現有肿物存在。
Example 1: Zhao × yuan, male, 22 years old, hospital number (58) 2149, fishermen, sheep in the city of Shandong Province, was admitted on August 4, Complaint: the right eye a lump, rapid growth in recent years, affecting the look thing, and the eyelids can not be closed. According to the patient to listen to their mother said that six days after birth found in the right eye outside the bottom of the bottom of the black eye at the edge of about millet large yellowish tumor, had no effect after the full moon, and the tumor and with Increasing age and gradually increased in the past year particularly fast, resulting in eyesight affected, eyelids can not be closed, wind and tear, sick eyes reddish, shame and mild pain, had tried the general rule invalid. Eye has not been traumatized, since childhood farming, fishing in the past three years to the sea, tobacco and alcohol hobby. Family history has not been known about genetic eye diseases. Physical examination: No abnormalities other than ocular disorders were found. No skin mass was found in the whole body.