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患者男,50岁,1994年7月25日突然剧烈头痛、恶心、呕吐伴昏迷,到某医院就诊。全身检查:颈项强直,克尼格征阳性,腰椎穿刺为血性脑脊液。诊断“蛛网膜下腔出血”。经保守治疗后清醒。10天后突然双眼视物不见,来本院就诊,诊断为Terson综合征,经中西药物治疗无效,于1904年9月15日收入院。全身检查:心肺听诊正常,神经系统未见明显阳性体征。眼科检查:双眼视力:眼前手动,光定位准,眼前节未见异常,玻璃体陈旧性积血;眼底窥不清。B型超声波检查:双眼玻璃体混浊伴后脱离,未见视网膜脱离,诊断:Terson综合征。1994年9月23日局麻下行右眼玻璃体切除术,术中见玻璃体积血以后
Male patient, 50 years old, July 25, 1994 sudden severe headache, nausea, vomiting with coma, to a hospital. Whole body examination: neck stiffness, Crohn’s sign positive, lumbar puncture for bloody cerebrospinal fluid. Diagnosis “Subarachnoid hemorrhage ”. Awake after conservative treatment. Ten days later, his eyes suddenly disappeared, to our hospital, diagnosed as Terson syndrome, the Chinese and Western drug treatment is invalid, on September 15, 1904 income hospital. Whole body examination: Cardiopulmonary auscultation normal, no significant positive signs of the nervous system. Eye examination: binocular visual acuity: eyes before hand, light positioning, anterior segment no abnormalities, vitreous old hemorrhage; fundus peep unclear. B-mode ultrasound: bilateral vitreous opacity with detachment, no retinal detachment, diagnosis: Terson syndrome. September 23, 1994 local anesthesia right vitrectomy, intraoperative vitreous hemorrhage later