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患者女性,20岁,因左眼失明,右眼视力下降半年,全身麻木、无力14天,于1987年2月16日入院。1986年7月因突然出现左眼失明,住入我院眼科。诊断:视神经炎,治疗10余天后视力有所好转,因出现右臀感染转入外科。一月后感染治愈,但左眼又失明,经眼科检查,左眼视神经萎缩。1986年11月出现右眼视力急剧下降,经治疗半个月视力恢复。此次入院前14天无明显诱因出现双下肢麻木,逐渐发展为全身麻木,曾用激素、地巴唑、维生素等药物治疗,无明显改善,不能自行系扣及解裤带。走路下肢无力,上楼梯困难,二便正常。14天前曾有上感已好转。入院体查:神清,问答切题,双瞳孔不等大,右5.5mm,左4.5mm,右光反应灵敏,左消失。左眼失明,无光感,右眼视力
Female patient, 20 years old, because of left eye blindness, right vision decreased six months, general numbness, weakness 14 days, on February 16, 1987 admission. July 1986 due to a sudden left eye blindness, admitted to our hospital ophthalmology. Diagnosis: Optic neuritis, visual acuity improved after more than 10 days of treatment, due to the emergence of right hip infection into surgery. After January infection cured, but the left eye and blindness, the eye examination, left optic nerve atrophy. 1986 November appeared sharp decline in visual acuity of the right eye, after half a month of visual acuity recovery. The 14 days before admission there is no obvious incentive to appear numbness of lower extremities, and gradually developed into numbness, had hormones, tomazole, vitamins and other drug treatment, no significant improvement, can not buckle and relieve troubles. Walking weakness in the lower extremities, difficulties on the stairs, two will be normal. 14 days ago, a sense of improvement has been made. Admission physical examination: God clear, Q & A problem, double pupil ranging from large, right 5.5mm, left 4.5mm, right light response, the left disappear. Left eye blindness, no light sense, right eye vision