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患者男,58岁,主因右侧眼眶疼痛伴恶心、呕吐7天入院。发病后第4天出现右侧眼睑下垂,睁眼不能,并有眼球活动差,易流泪。既往于8年前诊断为糖尿病型,间断无规律口服降糖药。入院查体:T37℃,BP1810kPa,双瞳孔左∶右=5∶2.5mm,右眼光反应存在,左眼光反应消失(外伤后遗症所致)...
Male patient, 58 years old, mainly due to right orbital pain with nausea, vomiting 7 days admission. On the 4th day after the onset of right eyelid ptosis, eyes open can not, and eye movement is poor, easy to shed tears. Previously diagnosed with diabetes 8 years ago, intermittent irregular oral hypoglycemic agents. Admission examination: T37 ℃, BP1810kPa, double pupil left: right = 5: 2.5mm, right eye light reaction exists, left eye light response disappeared (traumatic sequelae) ...