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患者、男,20岁。因右眼“外伤性视网膜震荡”收入院。体格检查全身情况良好,既往无眼病史。眼科检查:视力右0.1,左1.0,右眼睑轻度红肿,球结膜充血,屈光间质清。5％新福林散瞳查眼底:视神经乳头颜色正常,边界清,生理凹陷大小正常,视网膜血管动静脉比例2∶3,右眼黄斑区水肿明显,中心反光点消失,无出血及渗出。给强的松10mg每日3次口服,并口服维生素B_1、地巴唑等药物、住院第五天视力右0.8,准备第七天强的松减量,第六天下午开始上腹部不适、恶心、疼痛,解痉药治疗无效,疼痛逐渐加重呈刀割样。阵发性加剧。经普外科会诊疑为:上消化道穿孔,转
Patient, male, 20 years old. Due to the right eye “traumatic retinal shock” income hospital. Physical examination of the whole body in good condition, no previous history of eye disease. Eye examination: right eye 0.1, left 1.0, mild swelling of the right eyelid, conjunctival hyperemia, refractive interstitial clear. 5% new Fulin mydriasis fundus: normal optic nerve head color, border clear, the size of the normal physiological depression, retinal arteriovenous artery ratio of 2: 3, right eye macular edema, central reflection disappeared, no bleeding and exudation. To prednisone 10mg 3 times a day orally and oral administration of vitamin B_1, barbazole and other drugs, visual acuity of 0.8 on the fifth day of hospitalization, preparation for the seventh day of prednisone reduction, the sixth day began in the upper abdominal discomfort, nausea Pain, antispasmodic treatment ineffective, the pain gradually increased was a knife-like. Paroxysmal increase. The general surgery consultation suspected: upper gastrointestinal perforation, turn