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黄××,女,37岁,已婚,农民。因头痛4个月伴两眼视力减退3个月,近(?)0天双眼胀痛,拟诊两眼急性视神经乳头炎,于1984年5月5日入院。痛苦病容,平素体健。眼科检查:视力右0.6~(+2),左0.7~(+3),两瞳孔直径3mm,对光反应迟钝,KP(-),前房清,虹膜纹理清,晶体皮质少量点状混浊,玻璃体轻度混浊。两侧视乳头界限不清,色红,不隆起,视乳头及附近网膜有小片状出血,黄斑中心窝反光存在,无水肿渗出,指测眼压正常,两眼球各方向运动时轻度疼痛感。脑电图正常,头颅正侧位X 线摄片正常,胸部X 线摄片提示右上肺浸润型肺结核,左上肺炎症政变。血常规正常,血糖81mg%,血沉65mm/h,抗“O”333u。给予静输氢化可的松,氯霉素,肌注青霉素等治疗5天无效,转×医院肺科,抗结核治疗效果不佳,头痛剧
Yellow × ×, female, 37 years old, married, farmer. 4 months due to headache with both eyes decreased visual acuity 3 months, nearly (?) 0 days of binocular pain, the proposed diagnosis of two acute optic neuritis, admitted to hospital on May 5, 1984. Painful, usually physical health. Eye examination: visual acuity of 0.6 ~ (+2), left 0.7 ~ (+3), two pupil diameter of 3mm, photoperiod unresponsive, KP (-), anterior chamber clear, iris texture clear, Vitreous mild haze. Both sides of the optic disc boundaries unclear, color red, not uplift, optic disc and near the omentum flake bleeding, macular central reflex existence, no edema exudate, refers to the measurement of intraocular pressure normal, both directions when the eye movement light Degree of pain. Normal EEG, skull is normal lateral radiographs, chest X-ray showed right upper pulmonary infiltrative pulmonary tuberculosis, left upper lung inflammation coup. Normal blood, blood sugar 81mg%, ESR 65mm / h, anti-“O” 333u. Give intravenous hydrocortisone, chloramphenicol, intramuscular injection of penicillin and other 5 days ineffective, transfer × Hospital Pulmonary Tuberculosis, anti-TB treatment ineffective, headache drama