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我科在门诊工作中,某些常见眼病也易误诊,现报道3例如下。【例1】冯××,女,56岁。因头痛眼病,恶心呕吐,双眼视力下降,在当地以“急性胃肠炎”治疗12天,病情无好转,患者因双眼失明于1988年3月2日来我院就诊。检查:全身未见异常。眼部检查:视力双眼均为眼前手动;眼压:右5.6kPa,左4.0kPa;双眼眼睑轻度水肿,球结膜混合充血,角膜雾状混浊,瞳孔散大,直径约7毫米,前房浅,虹膜纹理不清,晶体轻度混浊,眼底窥视不清。诊断:急性闭角性青
Our department in out-patient work, some common eye diseases are also easy to misdiagnosis, are reported 3 cases as follows. [Example 1] Feng × ×, female, 56 years old. Due to headache, nausea, vomiting, binocular vision loss in the local “acute gastroenteritis” for 12 days, the condition did not improve, the patient was blind in both eyes on March 2, 1988 came to our hospital. Check: the whole body no exception. Eye examination: both eyes are manual eyes before; IOP: right 5.6kPa, left 4.0kPa; eyelid edema of both eyes, conjunctival hyperemia, corneal haze, mydriasis, diameter of about 7 mm, shallow anterior chamber , Iris texture is unclear, mild crystal opacity, peeping unclear. Diagnosis: acute angle of closure green