论文部分内容阅读
包虫囊肿(Echinococcus Diseases)是感染细粒棘球绦虫而致的疾病,发生在眼球很少见,且术前多误诊为眼肿瘤继发青光眼。我们曾遇一例,报告于下。戴××,男,37岁,农场职工,住院号620490。入院前一年右眼透过瞳孔可见一白点由鼻侧向颞侧扩大,1月前已全部遮盖瞳孔,视力丧失。眼疼,头痛。有与犬、牛、羊接触史。右眼视力无光感,眼压70mmHg,中度睫状充血,前房极浅,虹膜变薄,向前隆起。瞳孔扩大,光反射(一),可见黄光反射,晶体微浑,前囊有虹膜色素。眼内不能见。X 线片两肺散在多个3cm 园形肿块,皮内 Casones 试验(+),血中嗜伊红细胞14%,痰菌
Echinococcus Diseases is caused by the infection of Echinococcus granulosus. It occurs rarely in the eye and is misdiagnosed as secondary to ocular tumor secondary to glaucoma. We have encountered a case, the report below. Dai × ×, male, 37 years old, farm workers, hospital number 620,490. One year before admission, the right eye can see a white spot through the pupil to expand from the nasal side to the temporal side, covering all the pupils 1 month ago, loss of vision. Eye pain, headache. With dogs, cattle, sheep contact history. Right eye vision no light feeling, intraocular pressure 70mmHg, moderate ciliary congestion, anterior chamber very shallow, thinning iris, forward bulge. Pupil expansion, light reflection (a), visible yellow reflex, crystal micro-muddy, anterior capsule with iris pigment. Can not see the eye. X-ray lungs were scattered in more than 3cm 3cm mass, intradermal Casones test (+), 14% of blood eosinophils, sputum bacteria