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患者女性,26岁,因右眼球突出,视力下降两个月,而于1991年6月18日入院。体检未见异常。眼部检查:右眼视力0.04,不能矫正;左眼1.2。右上睑皮肤潮红,眶上缘中外1/3处可触及1.5cm×1.0cm×1.0cm的肿块,边界不清,表面不平,质地中等,不活动,无压痛。右眼球向鼻下方突出,眼球突出度:右眼18mm,左眼12mm,眶距90mm,眼球外展,颞上、颞下运动受限。眼底:视乳头水肿,静脉迂曲扩张,散在小片状出血,黄斑水肿,中心凹反光不清。X线片见右眼球后和蝶骨嵴占位性病变。CT扫描:右侧蝶骨
A 26-year-old female patient, with prominent right eyeballs and a drop in vision for two months, was admitted on June 18, 1991. No abnormal physical examination. Eye examination: right eye visual acuity 0.04, can not be corrected; left eye 1.2. Right upper eyelid skin flushing, 1/3 at the upper orbital margin can reach 1.5cm × 1.0cm × 1.0cm mass, the boundary is unclear, uneven surface, medium texture, inactivity, no tenderness. Right eyeball protruding below the nose, eyeball protrusion: right eye 18mm, left eye 12mm, orbital 90mm, eyeball outreach, temporal, temporal movement limited. Fundus: papilledema, venous tortuous dilation, scattered small flaky hemorrhage, macular edema, foveal reflex unclear. X-ray see the right eye and sphenoid ridge space-occupying lesions. CT scan: right sphenoid bone