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李×女 13岁学生门诊号:0025555。主诉自动排粪,排尿时双眼流泪,左眼更甚,当粪,尿排出时泪水点滴落地,便后泪液自行停止。饮食、情绪波动,蹲下作排粪,尿意识时无流泪。家族成员无类似史。体格检查:发育正常,营养良好,体检无异常。眼部检查:视力:右1 .5,左1 .5,双眼睑正常,睫毛排列整齐,泪点位置无变异,挤压泪囊部无泪液排出,泪道冲洗畅通。流泪试验:平时右眼3.smm,左眼4mm。排尿,右13mm,左24mm。
Lee × female 13-year-old student clinic number: 0025555. The main complaint of automatic defecation, voiding his eyes when the tears, his left eye even worse, when the excrement, urine drops of tears drip, then stop the tears on their own. Diet, mood swings, squatting for defecation, no tears when urinary awareness. Family members have no similar history. Physical examination: normal development, good nutrition, no abnormal physical examination. Eye examination: visual acuity: right 1 .5, left 1 .5, normal double eyelid, eyelashes arranged neatly, no variation in the location of the punctum, squeeze the lacrimal sac Department of discharge without tears, lacrimal duct irrigation unobstructed. Tears test: usually the right eye 3.smm, left eye 4mm. Urination, right 13mm, left 24mm.