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詹××男7岁学生病案号135298。左眼红一月余,视力丧失5天。一个月前玩耍时跌倒,左眼撞在竹竿上。在某医院检查。双眼视力均为1.5,左眼外眦部皮下郁血。3--4天后,左眼红,不疼,视力急剧下降。县医院诊断“左眼前房积脓”。考虑与外伤有关。B型超声波检查正常,用药无效。转院行B超检查为点状回声波,视网膜母细胞瘤可能性大。5天前左眼光感消失。眼部检查:右眼视力1.5,外眼正常,散瞳查内眼正常。左眼无光感,混合性充血(++),角膜轻度混浊,细点状灰白
Zhan XX male 7-year-old student case number 135298. Left eye red in January, loss of vision 5 days. Falling while playing for a month ago, his left eye crashed into a bamboo pole. Check in a hospital. Binocular visual acuity was 1.5, the left eye outside the Ministry of subcutaneous bleeding. 3 - 4 days, the left eye red, no pain, sharp decline in vision. County hospital diagnosis of “left eye empyema.” Consider the trauma related. B-type ultrasound is normal, medication is invalid. Transferred to the hospital B ultrasound examination for point echo, retinoblastoma possibility. 5 days ago light perception left disappear. Eye examination: visual acuity of 1.5 right eyes, normal eye, dilated eye check normal. No light perception of the left eye, mixed congestion (++), mild corneal opacity, fine gray-white