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乙胺丁醇治疗结核病偶可引起视神经末梢神经炎;现将我科诊治的一例报告如下: 胡×,女性,51岁,因患慢性纤维空洞型肺结核,于1980年8月开始服用利福平,每日0.6克顿服;乙胺丁醇每日1.0克顿服。用药前眼科检查:右眼视力0.6,左眼0.8,辨色力正常,限底正常。1980年11月复查视力仍正常,但患者12月初感双下肢胀痛麻木、无力、渐延及大腿,以右侧为甚;继而视物模糊、眼球胀痛;12月眼科检查:右眼视力0.1,左眼0.2,绿色觉减弱,眼底视神经乳头颜色稍淡边界略显模糊,左乳头缘处有一火焰状出血内膜动脉,诊断为:球后视神经炎。以后视力逐渐下降:左眼0.04、石
Ethambutol treatment of tuberculosis can cause optic nerve peripheral neuritis occasionally; now a case report of our department diagnosis and treatment are as follows: Hu ×, female, 51 years old, suffering from chronic fibrous hollow tuberculosis, began taking rifampin in August 1980, Day 0.6 grams Dayton clothing; ethambutol daily 1.0 克 Dayton clothing. Eye examination before treatment: right eye vision 0.6, left eye 0.8, normal color discrimination, the end of the normal limit. November 1980 review of visual acuity is still normal, but in early December patients with lower extremity pain numbness, weakness, gradually extended and thighs, to the right is even worse; then blurred vision, eye pain; December eye examination: right eye vision 0.1, left eye 0.2, weakened green, fundus optic disc slightly pale borderline fuzzy, left flank edge of a flaming hemorrhage intima artery, diagnosed as: posterior optic neuritis. After vision gradually decreased: the left eye 0.04, stone