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患者男,23岁。1992年2月7日下午,因锤击铁器时,飞起铁屑崩伤左眼部。查:左眼上睑近眉弓处皮肤有5mm大小的不规则裂伤,上睑皮下瘀血肿胀。眼球转动良好,球壁未见伤口。眼底检查:视网膜后极部可见少量片状出血。左眼眶X线正位片示眶外上方有—约3mm×2mm大小金属异物,侧位片示异距眶缘约25mm。诊断为左眶内金属异物。局麻下行左眶内异物摘除急诊手术。分离伤口及伤道内组织,用止血钳顺原伤道进入反复探查,未能触及异物。后移到800mAX光机在电视监视下可见眶外
Male patient, 23 years old. February 7, 1992 afternoon, due to hammer iron, flying iron debris left eye injury. Check: the left eye near the eyebrow eyelid 5mm size irregular lacerations, swelling of the upper and lower eyelid bleeding. Eye rotation is good, no damage to the wall of the ball. Fundus examination: a small amount of patchy hemorrhage can be seen at the posterior retina. The left orbital X-ray showed above orbital extra-orbital size of about 3mm × 2mm size metal foreign body, the lateral radiograph shows a distance of about 25mm orbital margin. Diagnosis of left orbital metal foreign body. Local anesthesia left orbital foreign body removal of emergency surgery. Separate wounds and wound tissue, with the hemostatic forceps along the original injury into the repeated exploration, failed to reach the foreign body. After moving to 800mAX light machine can be seen under the TV surveillance of the orbit