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在颅内压增高的患者中,属良性颅内压增高者并不多见,而且其原因往往不甚清楚。本文报告2例均由子宫肌瘤引起的良性颅内压增高症。病历摘要例1,女性,45岁,干部。头痛4个月,视力减退1个月于1986年4月入院。自述于1985年5月起月经量增加,同年12月出现头痛、呕吐和耳鸣。1986年3月起月经量成倍增加,头痛更严重,并明显视力减退,在当地医院发现双侧视乳头水肿伴出血。入院时体检;Bp 20/10.7kPa,肥胖体型,贫血面容,近视力左0.25,右眼前手动。眼底所见与当地医院相同。血红蛋白63g/L,血象、血小板和出凝血时间正常。
In patients with increased intracranial pressure, those with benign intracranial hypertension are rare and their causes are often unclear. This article reports two cases of benign intracranial hypertension caused by uterine fibroids. Case summary 1, female, 45 years old, cadres. A headache of 4 months, 1 month of visual impairment was admitted to hospital in April 1986. The menstrual flow began to increase from May 1985, and headache, vomiting, and tinnitus occurred in December of the same year. Since March 1986, the amount of menstrual period has doubled, headaches have become more severe, and visual impairment has become apparent. Bilateral optic disc edema associated with bleeding has been found in local hospitals. Physical examination on admission; Bp 20/10.7 kPa, obese body type, anemic face, near vision left 0.25, right hand before manual. The fundus seen is the same as the local hospital. Hemoglobin 63g/L, normal blood, platelet and clotting time.