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汤××男11岁学生住院号3567 患儿于1971年3月4日上午被另一儿童用竹签刺伤右眼。当即右眼剧痛,出血,视力丧失。当晚恶心、呕吐,伤眼胀痛。在当地卫生院做简单包扎,3月5日来院。检查:体温38.3℃血压:100/60mmHg,神志清,表情痛苦,全身体检正常。右眼视力:光感。右眼睑水肿。混合性充血(+++),角膜缘7点钟处有一长5mm的伤口,虹膜嵌入伤口内。前房充满晶状体皮质,看不到瞳孔。眼压:指压法T+3。诊断:右眼球穿孔伤,外伤性白内障,继发性青光
Soup × × male 11-year-old student hospital number 3567 children in the morning of March 4, 1971 by another child stabbed his right eye with a bamboo stick. Immediate right eye pain, bleeding, loss of vision. That night nausea, vomiting, hurt eye pain. Make a simple dressing in the local hospitals, March 5 to hospital. Check: Body temperature 38.3 ℃ Blood pressure: 100 / 60mmHg, clear mind, facial pain, physical examination was normal. Right eye: light sense. Right eyelid edema. Mixed congestion (+++), a 5 mm long wound at 7 o’clock on the limbus, with the iris embedded in the wound. The anterior chamber is full of lens cortex, can not see the pupil. IOP: Shiatsu method T +3. Diagnosis: Right eye ball perforation injury, traumatic cataract, secondary glaucoma