患者,男,65岁。6天前上山砍柴跌倒,划伤左下睑,伤口少许出血,随即嚼树叶敷伤口止血,并连续4天用苦楝树叶捣烂后敷伤口,第5天,伤口有少许脓液流出,次日出现张口困难就诊。全身检查无异常体征,面部见左下睑皮肤伤口愈合,存留一瘘管,缢脓,两侧嚼肌痉挛,抽搐,牙关紧闭,张口约半指。 Patient, male, 65 years old. 6 days ago, fell down the mountain firewood, scratched the left lower eyelid, a small wound bleeding, then chewing leaves wound hemostasis, and for 4 consecutive days with bitter neem leaves pounded after the wound, the first 5 days, a small pus effusion, the next day Appear difficult to visit. No abnormal signs of systemic examination, the face see the lower left eyelid skin wound healing, leaving a fistula, purulent pus, both sides of the spasm of the muscles, convulsions, teeth closed, mouth about half finger.