病例摘要患者王某,男,工人,32岁。因灯炮爆炸,伤及左眼,左眼视力勉强光感。检查左眼角巩膜缘11～12点钟处有小裂伤,当即缝合二针。数日后发现前房虹膜表面有极少量之血丝,晶体前后囊膜透明,晶体的前后皮质均有树枝状积血,色稍紫红,晶体的核心部仍透明,扩瞳后发现晶体11点钟赤道部有一小裂口,玻璃体也有积血,眼底看不见。左眼眼压17.30mmHg,其他均在正常范围内。右眼外眼及内眼正常。左眼放射科X线摄片,球内未见异物。住院后给予维生素C及50％葡萄糖液40ml静脉注射。尿激酶1克加5％葡萄糖水500ml静脉滴注。安妥碘加透明质酸酶肌注,地塞米松口服。左眼局部滴用谷胱苷酞眼水及0.5％可的松眼水交替滴用。治疗一个月 Case summary Patient Wang, male, worker, 32 years old. Due to the lamp explosion, hurt the left eye, left eyes barely light perception. Check the left eye scleral limbus 11 to 12 o’clock at a small laceration, immediately sutured two needles. A few days later found anterior chamber iris a very small amount of bloodshot eyes, the lens before and after the capsule transparent, both the anterior and posterior cortex of the crystal dendritic hemorrhage, a little reddish color, the core of the crystal is still transparent, after dilation found crystals 11 o’clock equator Ministry has a small gap, vitreous also have hemorrhage, fundus invisible. Left eye intraocular pressure 17.30mmHg, the other are within the normal range. Right eye and inner eye normal eye. Left eye radiography X-ray, no foreign body ball. After hospitalization given vitamin C and 50% glucose solution 40ml intravenously. Urokinase 1 g plus 5% glucose water 500ml intravenous infusion. Diazepam plus intramuscular injection of hyaluronidase, dexamethasone oral. Left eye local drops of glutathione phthalate eye drops and 0.5% cortisone eye drops with alternate drops. Treatment for one month