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【病例简介】男,33岁。主因右眼球突出半个月入院。半个月前发现右眼球突出入我院眼科。眼科检查:视力:右0.4,左0.8,右眼前节未见明显炎症,瞳孔圆,直径3.5 mm,对光反应稍迟钝,眼底正常。右眼上睑遮盖全部瞳孔,眼眶下缘可触及一肿物,质韧,固定,无触痛,右眼球固定。眼压:右眼25.81 mmHg,左眼14.57mmHg,眼球突出度:(20~16)/98mm,摄X线胸片未见异常,眼眶CT及MR扫描示右眼眶底占位。查血白细胞计数13.29×10~9/L,中性粒细胞0.67,血糖:5.53mmol/L,肝肾
[Case description] Male, 33 years old. Mainly due to the right eye protrusion half a month hospitalization. Half a month ago found that the right eye protrudes into our hospital ophthalmology. Eye examination: visual acuity: right 0.4, left 0.8, no obvious inflammation in the anterior segment of the right eye, pupil circle, diameter 3.5 mm, a little dull to light reaction, fundus normal. Cover the entire right eye upper eyelid pupil, orbital edge can touch a mass, tough, fixed, no tenderness, the right eye fixed. Intraocular pressure: right eye 25.81 mmHg, left eye 14.57mmHg, prominence of the eye: (20 ~ 16) / 98mm, no abnormal chest X-ray photography, orbital CT and MR scan shows the right orbital floor. Check the white blood cell count 13.29 × 10 ~ 9 / L, 0.67 neutrophils, blood glucose: 5.53mmol / L, liver and kidney