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报告一例眶颅树枝穿透性损伤,入院时神经系统无异常,眶探查术中发现异物经右眼上眶板进入颅腔,撕裂额叶。术后不久患者发生急性脑膜炎和脑漏,有染血的脑脊液从创口渗出,遂行右额开颅手术,同时应用大量抗菌素,最后虽眼功能丧失但挽救了生命。讨论了眶颅穿透性损伤的严重性,强调早期诊断及采用大剂量抗菌素治疗之重要。在有脑并发症表现,应及时请神经外科会诊治疗。
Reported a case of orbital cranial branches penetrating injury, admitted to the hospital without abnormal nervous system, orbital exploration found foreign body through the right eye orbital plate into the cranial cavity, tearing the frontal lobe. Shortly after surgery, patients with acute meningitis and cerebral leaks, bloody cerebrospinal fluid oozing from the wound, then the right craniotomy, while the application of a large number of antibiotics, and finally lost the function of the eye, but saved lives. Discuss the severity of orbital penetrating injury, emphasizing the importance of early diagnosis and treatment with high-dose antibiotics. In the performance of brain complications, neurosurgical consultation should be promptly treated.