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患者宋××男56岁双眼胀痛、虹视1年于1988年12月21日来诊,诊断为双眼慢性闭角型青光眼。给予醋氮酰胺250mg,每日3次口服,6日后入院。入院后第2日在局麻下行右眼窦小梁切除术。术前30分钟静脉点滴20%甘露醇250ml。术后第1日口服地塞米松0.75mg,每日3次。第2日因前房有少量积血,改用地塞米松10mg 加入5%葡萄糖500ml 静脉点滴。当日晚,自觉乏力,双下肢麻木。次日晨出现软瘫。血压20/11KPa。神志清楚,颈软,双侧呼吸运动减弱,心率60次/分,节律不整,无器质性杂音。四肢呈软瘫状态,尤以双下肢为著。膝腱反射消失,未引出病理反射,深浅感觉正常。心电图
Patient Song × × male 56-year-old binocular pain, Hongshi 1 year in December 21, 1988 to diagnose, diagnosis of both eyes with chronic angle-closure glaucoma. Give vinegar amide 250mg, 3 times a day orally, admitted after 6 days. On the 2nd day after admission, the right eye sinus trabeculectomy under local anesthesia was performed. Thirty minutes before surgery intravenous drip 20% mannitol 250ml. Postoperative day 1 oral dexamethasone 0.75mg, 3 times a day. On the 2nd day due to the anterior chamber there is a small amount of hemorrhage, use dexamethasone 10mg added 5% glucose 500ml intravenous drip. The same day, consciously weak, numbness of both lower extremities. Soft paralysis appeared the next morning. Blood pressure 20 / 11KPa. Consciousness, neck soft, weakened bilateral breathing, heart rate 60 beats / min, irregular rhythm, no organic noise. Extremities showed a soft state of paralysis, especially in the lower extremities. Knee tendon reflex disappeared, did not lead to pathological reflex, the depth of feeling normal. Electrocardiogram