论文部分内容阅读
病例赵××男27岁已婚住院号80~2791 1980年5月5日入院。入院前一年发作性头痛,视力减退6月余,无恶心呕吐。1980年2月4日门诊检查:右视力1.0,左视力0.06。右瞳孔2mm,圆形,光反应敏感,眼底正常。左瞳孔2mm,圆形,光反应弱,视乳头境界清楚,颞侧色泽稍淡,黄斑部正常。左眼球稍突出,眼压不高,眼球运动正常。视野检查左眼颢侧偏盲。到外院检查:脑电图正常,头颅平片及鞍区点片未见异常,头颅超声波中线波无移位。口腔科查有牙周炎。神经系统未发现异常改变。疑诊为球后视神经炎,回当地治疗月余无效,视力继续下降而来检。查:右眼视力0.3,左眼光感可疑。右眼瞳孔3mm,光反应弱,
Case Zhao × × male 27 years old married hospital number 80 ~ 2791 May 5, 1980 admission. One year before admission, episodes of headache, vision loss for more than 6 months, no nausea and vomiting. February 4, 1980 Outpatient examination: right visual acuity 1.0, left visual acuity 0.06. Right pupil 2mm, round, light sensitive, normal eyes. Left pupil 2mm, round, light reaction is weak, clear nipple realm, slightly lighter temporal color, macular normal. Left eye slightly prominent, intraocular pressure is not high, eye movement is normal. Visual examination of the left eye 颢 side of the blind side. To the hospital examination: normal EEG, cranial plain and saddle point no abnormalities, no shift of the head ultrasonic wave. Stomatological examination of dental periodontitis. Nervous system found no abnormal changes. Suspected of retrobulbar neuritis, back to the local treatment of more than a month, eyesight continued to decline from the seizure. Check: Right eye 0.3, left eye light suspicious. Right pupil 3mm, light reaction is weak,