1例血友病的眼球摘出

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患者曹××男27岁已婚工人。于3个月前在打篮球时,右眼被人用手击伤,随即感视力障碍、剧烈胀痛。曾诊断为右眼外伤性球内出血、继发性青光眼,在外院经40多天保守治疗好转出院。10多天前因右眼疼痛加剧,前房积血增多,于6月28日在某院行前房穿刺,术后右眼仍疼痛,伴剧烈头痛、恶心呕吐,于1982年6月30日来我院求治,要求行眼球摘出。门诊诊断为右眼外伤性球内出血、角膜血染、继发性青光眼,收住院治疗。既往因慢性扁桃腺炎,1979年在某县医院行扁桃腺摘出术,术后发生大出血,经输血约3000ml才止血,后经血液学检查,确诊为血友病丙。否认父母有血友病病史。体检:T37℃,P72次/分,R18次/分,B. P:110/70mmHg一般情况良好,皮肤粘 Cao × × male patient 27 years old married workers. When playing basketball three months ago, the right eye was hand-wounded, then visually impaired, severe pain. Had been diagnosed with right eye traumatic intracranial hemorrhage, secondary glaucoma, conservative treatment in the outer hospital by more than 40 days to improve discharge. More than 10 days ago due to increased right eye pain, increased anterior chamber hemorrhage, on June 28 in an anterior chamber puncture, the right eye is still painful, with severe headache, nausea and vomiting, on June 30, 1982 To our hospital for treatment, requiring eyeballs excerpts. Out-patient diagnosis of right eye traumatic intracranial hemorrhage, corneal blood stained, secondary glaucoma, admitted to hospital for treatment. Previously due to chronic tonsillitis, in 1979, a county hospital tonsillectomy surgery, hemorrhage occurred after the transfusion of about 3000ml before hemostasis, after hematology examination, diagnosed as hemophilia C. Denied parental history of hemophilia. Physical examination: T37 ℃, P72 beats / min, R18 beats / min, B. P: 110 / 70mmHg generally good, skin stick
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