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患者程××女61岁工人住院号92041因患肺结核喀血住我院传染科治疗,当日静脉滴注脑垂体后叶素15单位。半小时后,患者突然感觉双眼胀痛、头痛伴恶心。请眼科会诊,视力指数/30cm,球结膜混合性充血,角膜混浊,前房周深<1/3ck,房水闪光阳性。瞳孔直径6—7mm,光反应迟钝。眼底隐约可见。眼压右6.75kPa,左6.25kPa。诊断:继发性青光眼。停脑垂体静脉滴注,用20%甘露醇250ml静脉点滴,口服甘油30ml,口服醋氮酰胺0.25gtid,局部滴0.5%噻吗心胺眼水、1%匹罗卡品眼水。次日眼
Cheng Cheng × × female 61-year-old worker hospital number 92041 due to tuberculosis card blood flow in our hospital Department of Infectious Diseases, intravenous infusion of vasopressin 15 units the same day. Half an hour later, the patient suddenly felt binocular pain, headache with nausea. Please eye consultation, visual acuity index / 30cm, conjunctival hyperemia, corneal opacity, anterior chamber depth <1 / 3ck, aqueous flash positive. Pupil diameter 6-7mm, light response slow. Fundus faintly visible. Intraocular pressure right 6.75kPa, left 6.25kPa. Diagnosis: Secondary glaucoma. Stop pituitary infusion, with 20% mannitol 250ml intravenously, oral glycerol 30ml, oral acetazamide 0.25gtid, local 0.5% timolol eye drops, 1% pilocarone eye water. Eyes the next day