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熊××男47岁汉族住院号85487。1985年6月4日入院。主诉左眼失明1个月余。两个月前,无明显诱因,左眼视物模糊,不红不痛,以后视力逐渐减退。近1个月来,左眼失明,眼胀痛,左侧头痛、恶心,未呕吐。两个月前,因患“胸膜炎”在卫生院曾用青霉素静脉滴注、肌注链霉素。近20天,躯干部皮下可见多发性大小不一结节样肿物,疼痛。有胃痛史,饭后症状缓解,不反酸。85年5月26日钡餐检查未见异常。
Xiong XX Male 47-year-old Han hospital number 85487. June 4, 1985 admission. Chief complaint left blind more than 1 month. Two months ago, no obvious incentive, blurred vision of the left eye, red is not painful, after vision gradually diminished. Nearly a month, the left eye blindness, eye pain, left headache, nausea, vomiting. Two months ago, suffering from “pleurisy” had penicillin infusion in the hospital, intramuscular streptomycin. Nearly 20 days, the trunk subcutaneous multiple nodular-like mass, pain. Have a history of stomach pain, relieve symptoms after a meal, not acid reflux. May 26, 85 barium meal examination showed no abnormalities.