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男,48岁,因乏力,纳差,厌油,上腹部饱胀不适5天有,1987年11月21日入院.既往无肝病及眼疾史.体检:皮肤、巩膜黄染,两侧瞳孔等大,对光反射存在.心肺(-).肝肋下1.5cm,质软,有压痛及肝区叩击痛,脾未及,无移动性浊音.实验室检查:尿胆红质(+),尿胆元1:40阳性.总胆红质145.3μmol/L,VDB 直接强阳性,TTT5u,总蛋白62g/L,白蛋白45g/L,球蛋白17g/L,SGPT>1000u.住院经过:初诊病毒性肝炎,急性黄疸型.给予常规护肝治疗.入院后第2天上午起,患者感两眼视物模糊,不能阅读报刊,至第3天下午两眼视力仅有光感.眼球转动及压迫眼球均感疼痛,无头痛及恶心、呕吐.血压正常,精神无异常.眼科会诊:视力无,两侧瞳孔等圆等大,对光反射迟钝,
Male, 48 years old, due to fatigue, anorexia, tired of oil, abdominal fullness Discomfort 5 days, admitted to hospital on November 21, 1987. Past no history of liver disease and eye disease. Physical examination: skin, scleral yellow dye, both pupils Large, light reflex exists. Cardiopulmonary (-). Liver ribs 1.5cm, soft, tender and liver percussion pain, spleen, and no mobility dullness. Laboratory tests: Urobilinogen (+), , Urine cholecystal 1: 40 positive. Total bilirubin 145.3μmol / L, VDB direct strong positive, TTT5u, total protein 62g / L, albumin 45g / L, globulin 17g / L, SGPT> 1000u. Newly diagnosed viral hepatitis, acute jaundice type.Give routine liver protection treatment.On the second day after admission, patients with two eyes blurred vision, can not read the newspaper, the afternoon of the third day the two eyesight only light feeling. And oppression of the eye are felt pain, no headache and nausea and vomiting .Normal blood pressure, no abnormality in the eye .Ophthalmology consultation: vision, both sides of the pupil and other large round, slow light reflex,