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1案例资料案例1某男,51岁。2012年3月某日,从楼梯上摔倒滚落致头面部受伤。入院查体:神志昏迷,左眼光反射消失,右眼光反射灵敏。颅脑CT检查见:右侧颞顶部硬膜下血肿伴脑挫裂伤、双侧额叶脑挫裂伤、蛛网膜下腔出血,气颅。给予脱水降颅压等对症治疗后,疗效不佳,在全麻下行“右颞顶去骨瓣减压+血肿清除术”。两个月后因双眼视力下降再次入院。检查:双眼视力均为光感,定位不良。双眼结膜
1 case information case 1 a man, 51 years old. Some day in March 2012, she fell down the stairs and caused a head-wound facial injury. Admission examination: consciously coma, the left eye light reflex disappeared, right eye reflex sensitive. Brain CT examination see: the right temporal subdural hematoma with cerebral contusion, bilateral frontal lobe contusion, subarachnoid hemorrhage, pneumocephalus. Given dehydration and intracranial pressure and other symptomatic treatment, poor efficacy, under general anesthesia trip “right temporal roof decompressive craniectomy + hematoma removal ”. Two months later due to decreased binocular vision admitted to hospital again. Check: binocular vision are light perception, poor positioning. Eyes conjunctiva