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例1,男,14岁,于1992年6月23日在教室上课时被雷电击伤,昏倒不省人事约5分钟.苏醒后感头晕、头痛、耳鸣、双眼酸痛流泪、视物不清,4小时后到我院就诊.体检:心率100次/分,心电图ST段抬高,头颅CT扫描正常右眼视力0.4,左眼0.12.双睑皮肤微红肿、痉挛,球结膜充血水肿.角膜可见横向带状混浊,上皮点、片状剥脱基质层水肿,荧光素呈带形着染.房闪(+),瞳孔直径约3mm,光反射迟钝.晶体眼底未能查清.诊断:双眼雷击伤.治疗:1%阿托品散瞳,涂抗生素及素高捷疗眼膏,口服维生素类药物等.第2天心率66
Example 1, male, 14 years old, was injured by thunder and lightning during class in the classroom on June 23, 1992, and unconsciously collapsed for about 5 minutes. After feeling awake, headache, tinnitus, sore eyes and tears, 4 hours later to our hospital for treatment. Physical examination: heart rate 100 beats / min, ST elevation electrocardiogram, cranial CT scan normal right eye vision 0.4, left eye 0.12.Eyelid skin redness and swelling, spasms, conjunctival congestion and edema. Transverse ribbon cloudy, epithelial spots, flaky exfoliated stroma edema, fluorescein ribbon-shaped staining. Room flash (+), the pupil diameter of about 3mm, slow light reflex .Crystal fundus failed to find out. Treatment: 1% atropine mydriasis, coated with antibiotics and Sucozote cream, oral vitamin drugs, etc. Day 2 Heart rate 66