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1临床资料患者,男性,68岁,因“左眼球突出1个月”入院。患者自觉1个月前开始出现左眼球突出,呈进行性加重,伴间断头昏及左侧头皮胀痛。体格检查:体温36.3℃,脉搏121/min,呼吸21/min。心肺未见明显异常。左侧颞部皮肤肿胀,约6 cm×10 cm,触之有液波感。左侧眼球向外突出,结膜充血,可触及震颤。辅助检查:肝功能:碱性磷酸酶662 IU/L。血清前列腺特异抗原(PSA):总PSA 1 465 ng/mL,游离PSA 42.380 ng/mL。头部CT
1 clinical data of patients, male, 68 years old, due to “left eyeball prominent 1 month ” admission. Patients consciously began to appear left eyeball 1 month ago, was progressive increase, with intermittent dizziness and left scalp pain. Physical examination: body temperature 36.3 ℃, pulse 121 / min, breathing 21 / min. Heart and lung no obvious abnormalities. The left temporal skin is swollen, about 6 cm × 10 cm, touch the liquid wave flu. The left eyeball protruding outward, conjunctival hyperemia, can reach tremor. Auxiliary examination: liver function: alkaline phosphatase 662 IU / L. Serum Prostate Specific Antigen (PSA): Total PSA 1 465 ng / mL, Free PSA 42.380 ng / mL. Head CT