论文部分内容阅读
患者朱××女70岁退休工人住院号119275 1990年3月9日突然右眼痛、头痛,恶心、呕吐。视力急骤下降。于1990年3月24日入院。患者于11年前曾在某医院行双眼白内障针拨术。右眼无光感,混合充血(艹),角膜雾状水肿,并形成小水泡。瞳孔直径1mm,(已用匹罗卡品点眼)。右眼压5.77kpa(43.38mmHg),左眼视力0.06,角膜透明,瞳直径孔1mm,有玻璃体疝。眼压2.73kpa(20.55mmHg)。入院后,双眼点用1—2%匹罗卡品液,口服醋氮酰胺。27小时后,左眼发生类似右眼之初发症状。眼压高达6.65kpa(50.62mmHg)。根据症状分析,瞳孔阻滞是本病的主要原因。故停用缩瞳剂,改用1%左旋肾上腺素,静点20%甘露醇溶液250ml。在局部点药
Zhu × × Female Retired worker 70 years old Hospitalization number 119275 March 9, 1990 Sudden right eye pain, headache, nausea and vomiting. Visual acuity decreased sharply. Admitted to hospital on March 24, 1990. The patient had binocular cataract surgery at a hospital 11 years ago. No sense of right eye, mixed congestion (艹), corneal edema, and the formation of small blisters. Pupil diameter 1mm, (Pilocarpine eye has been used). Right intraocular pressure 5.77kpa (43.38mmHg), left eye visual acuity 0.06, corneal transparency, pupil diameter hole 1mm, vitreous hernia. Intraocular pressure 2.73kpa (20.55mmHg). Admission, eyes point with 1-2% pilocarpine liquid, oral acetazolamide. After 27 hours, the left eye resembled the first symptom of the right eye. Intraocular pressure up to 6.65kpa (50.62mmHg). According to the analysis of symptoms, pupil block is the main reason for the disease. Therefore, disable the miosis agent, switch to 1% L-epinephrine, static point 20% mannitol solution 250ml. In the local medicine