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男,44岁,1986年12月9日急诊入院。患者入院前7天自觉右眼有异物射入,仅有异物感,无红痛及视力障碍。3天前仍觉有异物感,到当地医院就医,发现角膜异物,行角膜异物剔除术。术后当天病人未滴用抗生素眼水,术后第2天,右眼突然红肿、疼痛,视物不见,当地医院拟诊为绿脓杆菌性角膜溃疡转送我院。体检:全身情况无特殊。眼部检查:视力:右光感,光定位准确;左1.5。右眼睑皮肤轻度红肿,球结膜混合充血(卅),角膜呈黄白色混浊,,表面凹凸
Male, 44 years old, December 9, 1986 Emergency hospitalization. 7 days before admission, the patient conscious injection of foreign body right eye, foreign body sensation only, no red pain and visual impairment. 3 days ago still feel foreign body sensation, to the local hospital for medical treatment, found corneal foreign body, corneal foreign body removal. On the day after the operation, the patient did not drip with antibiotic eye drops. On the second day after operation, the right eye suddenly became inflamed, the pain and the sight disappeared. The local hospital intends to diagnose Pseudomonas aeruginosa ulcer and transmit it to our hospital. Physical examination: the whole body no special circumstances. Eye examination: visual acuity: right light sense, light positioning accuracy; left 1.5. Mild swelling of the right eyelid skin, conjunctival hyperemia (卅), corneal yellowish white turbid, surface bump