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马绍壮,男,1岁,无重病史.因生后双眼不视物,于1988年11月29日初诊足月顺产第1胎,其母早孕期曾有“上呼吸道感染”史,父母非近亲近婚配,无家族史.体格检查:表情淡漠,对声刺激无反应,不会说笑,不能坐立,颅大小正常,双上肢肌力4度,双下肢瘫痪,余无异常.眼部检查:双眼对物体及强光不注视,无充血,双瞳孔等大3mm,对光反射迟钝,屈光间质无浑浊.双视盘边界清,色灰白,颞侧苍白,生理凹陷浅平,筛孔隐现,动脉偏细,黄斑中心凹反光不见.双眼
Ma Shaozhuang, male, 1 year old, no history of serious illness.Because of binocular disregard of the material, in November 29, 1988 first full-term first-trimester births, the mother had a history of “upper respiratory tract infection” during early pregnancy, parents are not near Close to the marriage, no family history Physical examination: indifferent expression, no reaction to acoustic stimulation, no joking, can not sit, normal cranial size, upper limb muscle strength 4 degrees, both lower limb paralysis, I no abnormal eye examination: Eyes on the object and the glare does not gaze, no congestion, double pupil and other large 3mm, slow light reflex, no interstitial refraction turbidness .Biological tray boundary clear, grayish white, temporal pale, shallow physiological depression, Artery thin, foveal reflex no see