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患者,郭××,男,20岁,住院号16221.右眼被石块击伤2天半,眼胀痛无光感1天半.于1994年9月13日入院.患者精神紧张,痛苦面容.眼科检查:视力右眼无光感;左眼0.8,j1.右眼睑充血水肿,结膜混合充血(++),角膜雾状水肿.前房呈紫黑色,瞳孔不见.眼压9.74kPa(1kPa=7.5mmHg).左眼正常.给予 20%甘露醇注射液脱水,碳酸酐酶抑制剂等综合降眼压治疗,无效.次日行前房穿刺术放液,前房内流出紫黑色液体,可见圆形块状物浮动,镊子夹出丝状黑色物体,送病检.抽取房水在普通显微镜下查到血影细胞(计数7890/mm~3).病理报告:凝血块及玻璃样变之纤维组织间杂中性白细胞.明确诊断.术毕眼压_(-1).术后第一日,视力光感不确,晨起时眼压高6.25kPa.再次放液后T_(-1),以后每日放液至术后第6日,视力光感,定位准确.眼压4.05KPa,前房仍呈紫黑色.用尿激酶5000u/
Patients, Guo × ×, male, 20 years old, hospital number 16221. The right eye was injured by stones for 2 days and a half, the eye pain and dullness for 1 day and a half, admitted on September 13, 1994. The patient was nervous and suffering The left eye 0.8, j1 right eyelid congestion and edema, conjunctival hyperemia (++), corneal edema. Anterior chamber was purple, the pupil is not seen. Intraocular pressure 9.74kPa ( 1kPa = 7.5mmHg) .The left eye is normal.Give 20% mannitol injection dehydration, carbonic anhydrase inhibitors and other intraocular pressure reduction therapy, the next day underwent anterior chamber puncture drainage, the anterior chamber outflow of purple liquid , Visible round block floating, tweezers out of the filamentous black objects, sent sick examination .Abnormal aqueous humor cells (count 7890 / mm ~ 3) under ordinary microscope .Pathological report: clot and glass Change of fibroids between neutrophils.Determination of diagnosis.Intraoperative intraocular pressure _ (- 1) .On the first day after surgery, visual acuity was not clear, morning when the intraocular pressure was high 6.25kPa. After re-release of T_ (- 1), after the daily release to the sixth day after surgery, visual acuity, positioning accuracy intraocular pressure 4.05KPa, the anterior chamber is still purple black with urokinase 5000u /