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患者男18岁月前左眼球突出,头痛。1980年4月18日就诊。体格检查:面色苍白,全身消瘦,左耳前淋巴结蚕豆大,其他全身表浅淋巴结未触及,肝脾不大。眼部检查:视力右1.2,左0.7。右眼正常。左眼眶外侧缘可触及质硬凸凹不平的索状物。有睫状充血,在角膜5点处有深层溃疡。眼球突出度:右9mm,左18mm。左眼球向上外活动受限。左眼底视乳头边界清楚,色正常,黄斑区轻度水肿。胸部透视正常。双眼眶X线片:左眼眶略扩大,骨壁未见破坏,视经经孔扩大。超声波检查为左眼球后占位性病变。验检查:血红旦白8.0g%,白细胞为7.900,中性64%,淋巴30%,嗜酸性6%,未找到幼稚细胞。3个月后复查,左眼明显向前突出,珠结膜充血水肿,角膜溃疡表面有脓性
Patient male 18 years ago left eyeball prominent, headache. April 18, 1980 treatment. Physical examination: pale, whole body weight loss, left front ear lymph nodes broad beans, the other systemic superficial lymph nodes not touched, little liver and spleen. Eye examination: visual acuity 1.2, left 0.7. Right eye is normal. Left lateral orbital margin can touch the hard bump uneven cord. Ciliary congestion, deep in the cornea 5:00 ulcer. Eyeball protrusion: right 9mm, left 18mm. Left eye up activities outside the restricted. The left eye end of the nipple clear boundary, normal color, macular mild edema. Chest perspective normal. Binocular X-ray films: Left orbital slightly enlarged, no damage to the bone wall, depending on the hole by expanding. Ultrasound examination for the left eye after the space-occupying lesions. Inspection inspection: 8.0g% of blood red white, white blood cells of 7.900, 64% neutral, lymphatic 30%, 6% eosinophilic, did not find naive cells. 3 months after the review, the left eye was prominent forward, the conjunctival congestion and edema, corneal ulcer surface purulence