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男,21岁。被炸药炸伤双眼及面部,躯体冲入河中,昏迷1小时,醒后视物不见,经当地清创缝合抗炎治疗无效,第四天转来我院。体查:一般尚可。面部高度肿胀变黑,附有黑痂血块及煤渣、双颧及上唇广泛性炸伤有淡黄色分泌物流出,有死鼠臭味,鼻梁塌陷,鼻尖缺如。左手背左膝有多处皮肤裂伤。双眼无光感,双眼眶周围皮肤高度肿胀,残缺不全,双眶下缘及面部皮下有气肿捻发感。右眼球绝大部分结
Male, 21 years old. Explosives were injured eyes and face, the body into the river, coma for 1 hour, wake up after seeing things disappear, the local debridement anti-inflammatory treatment is invalid, the fourth day to my hospital. Physical examination: generally acceptable. Face height swelling black, with black calluses clot and cinder, double zygomatic and upper lip extensive yellow light exudation wound outflow, dead rat smell, nose collapse, missing nose. Left knee and left knee have multiple skin lacerations. No sense of both eyes, eyes orbital height of the skin swelling, incomplete, double infraorbital and facial subcutaneous emphysema twisting sense. The vast majority of the right eye knot