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1.病例介绍 患者男性,12岁。以左眼球突出,伴视力减退89天就诊,以左眼眶内占位性病变待查收住院。患儿曾在当地州医院收住,并行手术探查,发现肿瘤广泛粘连,无法摘除,取病检因未能定性而转院。体格检查:T、P、R正常,患儿神志清,发育正常,营养佳。全身皮肤无黄染,浅表淋巴结未触及。心肺无异常,肝脾未触及,四肢及脊柱正常。神经生理性反射引出,病理反射未引出,三大常规及X线胸片无异常。双眼眶X线摄片:左眼眶明显大于右眼眶,骨质结构尚未改变。眼科检查:视力:右1.5/1.5,左0.3/0.1,左眼球明显向前外下方突出,眼球突出度为右1.3(98)3.4cm
1. Case description Male patient, 12 years old. To highlight the left eye, with vision loss 89 days treatment, to occupy the left orbital lesions to be admitted to hospital. Children have been admitted to the local state hospital, parallel surgical exploration, found extensive adhesion of the tumor, can not be removed, take the disease seized because of failed to qualitative. Physical examination: T, P, R normal children with clear consciousness, normal development, good nutrition. No skin yellow dye, superficial lymph nodes not touched. No abnormal heart and lung, liver and spleen not touched, limbs and spine normal. Neurophysiological reflex leads to pathological reflex did not lead to the three conventional and X-ray no abnormalities. Binocular X-ray: left orbital was significantly greater than the right orbit, bone structure has not changed. Eye examination: visual acuity: the right 1.5 / 1.5, the left 0.3 / 0.1, the left eye was significantly forward and outward prominent lower eyeball protrusion is 1.3 (98) 3.4cm