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例1 男,32岁,双眼视物不清一年余,逐渐加剧,现视物不见一个月。三年前因上肢发凉,麻木无力,在上海某医院诊为动脉炎,经治疗好转。体格检查:T36℃,R20次/分,双侧桡动脉不能触及,上肢血压不能测到。头颅无畸形,心电图、胸透及血、尿常规正常。眼科检查:视力双眼光觉(+),光定位不准确,双眼瞳孔对光反应迟钝,晶体呈灰黄色混浊,眼压Tn。诊断:无脉症、双眼白内障。住院期间曾突然头晕、心慌两次,卧床休息可恢复。91年4月20日局麻下行双眼白内障摘除术,手术顺利,皮质冲洗干净。4月30日出院,检查视力无改善,玻璃体混浊,眼底可见视神经萎缩。
Example 1 Male, 32 years old, binocular illiterate more than a year, and gradually aggravate, now the sight is not a month. Three years ago due to upper extremity cold, numbness weakness, diagnosed as arteritis in a Shanghai hospital, the treatment improved. Physical examination: T36 ℃, R20 beats / min, bilateral radial artery can not touch, upper limb blood pressure can not be measured. No head deformity, ECG, chest and blood, urine normal. Eye examination: eyesight (+), optical positioning is not accurate, the pupil of both eyes unresponsive to light, the crystal was gray and yellow turbid, intraocular pressure Tn. Diagnosis: no pulse disease, binocular cataracts. Suddenly dizzy during hospitalization, palpitation twice, bed rest can be restored. April 20, 91 Local anesthesia binocular cataract extraction, smooth operation, clean cortex. April 30 discharge, no improvement in visual acuity, vitreous opacity, visible optic nerve atrophy fundus.