患者,男,44岁,于1991年2月3日发射旧火枪时不慎被枪后座击中右眼,当时右眼出血不止,意识丧失约5分钟。清醒后自觉头痛,右眼痛难忍,由眼科急诊收入院。检查:精神萎靡,神志欠佳。眶下缘内陷,有活动性出血,上下睑挫裂伤多处,右眼球结构不清,未查及明显神经系统阳性体征。诊断:右眼球破裂,眶下壁骨折,上下睑挫裂伤。急行上、下睑清创修补术, The patient, male, 44 years old, was accidentally hit by the back of a gun while hitting the right eye on February 3, 1991, when the old gun was bleeding. At that time, there was bleeding in the right eye, which lost consciousness for about 5 minutes. Conscious headache after awake, right eye pain unbearable, by the emergency ophthalmology hospital. Check: apathetic, poor mind. Invagination of the infraorbital margin, active bleeding, upper and lower eyelid laceration multiple, unclear structure of the right eye, did not check and obvious positive signs of the nervous system. Diagnosis: Right eyeball rupture, orbital wall fracture, upper and lower eyelid laceration. Urgent line, lower eyelid debridement repair,