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病例陈×男53岁住院号11449右眼角膜异物被私人医生剔除后,右眼红痛、流泪,视力下降。用青霉素,庆大霉素肌注,治疗12天无效。于90年8月14日来诊,诊断为右眼角膜溃疡。入院时,右眼视力0.04,左眼1.5。右眼球结膜混合充血(++),角膜中央偏下方有2个2×2mm基质浅层溃疡,周围角膜水肿,边界不清,F(?)(+)。瞳孔4×4mm(药物性散瞳)。晶体透明,眼底窥不清。左眼正常。按病毒性角膜炎治疗8天,眼部刺激症状减轻,但溃疡面没缩小,反而出现前房积脓(约
Case Chen × male 53-year-old hospital number 11449 Right corneal foreign body was removed by a private doctor, right eye red pain, tearing, decreased visual acuity. With penicillin, gentamicin intramuscular injection, treatment for 12 days is invalid. On August 14, 1990 came the diagnosis of right corneal ulcer. On admission, the visual acuity was 0.04 in the right eye and 1.5 in the left eye. Right conjunctival hyperemia (++), there are 2 shallow 2 × 2mm basement ulcers in the central cornea, corneal edema around the border, unclear, F (?) (+). Pupil 4 × 4mm (drug mydriasis). Crystal transparent, peephole unclear. Left eye is normal. Treatment of viral keratitis 8 days, eye irritation alleviated, but did not reduce the ulcer surface, but the emergence of hypopyon (about