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1 临床资料 患者男性,39岁,歼击机飞行员,突感视物不清。左眼不适,检查发现左侧瞳孔较右侧大,直接及间接光反应消失。右侧正常。经医院体检排除了眼部及神经系统器质性病变。仅表现左瞳孔4mm,右侧3mm。后马托品可使双眼瞳孔散大。乙酰甲胆碱可使左瞳孔缩小,右瞳孔无变化。诊断:左眼强直性瞳孔。经调节自主神经功能治疗症状消失。视力正常。结论:飞行合格。随访3年飞行中无不适,大体检无异常。
1 clinical data of patients male, 39 years old, fighter pilot, sudden sensory unclear. Left eye discomfort, examination revealed that the left pupil than the right, direct and indirect light response disappeared. Right normal. After the hospital physical examination ruled out the eye and the nervous system organic disease. Only the performance of the left pupil 4mm, the right 3mm. After the horse care products can make eyes dilated. Methacholine left pupil can be reduced, the right pupil unchanged. Diagnosis: left eye ankylosing pupil. Regulated autonomic nervous system function symptoms disappear. Normal vision. Conclusion: Flight qualified. Follow-up 3 years without any discomfort in the flight, the general examination without exception.