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患者张x x,女,30岁,病案号:130791.1991年7月19日10时被高压管喷出液态塑料烧伤面部.剧烈疼痛,视物不见,即浸冷水约3分钟,1小时后来院急诊.查整个面部被覆凝固塑料,呈假面具状;双眼呈睁眼状态灌注成型.视力:右:数指/20cm,左:手动/5cm.双眼睑见大小水泡,左上睑皮肤干燥,色暗.睑球结膜大部分全层坏死、糜烂,巩膜未见明显异常.角膜水肿混浊(+++),达实质浅深层不等.左角膜上皮约3/4剥脱.双角膜缘苍白缺血.虹膜及内眼窥不清.入院诊断:双眼塑料烧伤.眼睑Ⅱ～Ⅲ度,面积(++++);结膜Ⅲ度,面积(++++);右角膜Ⅱ～Ⅲ度,左角膜Ⅲ度,面积(++++).处理:清除坏死组织,全身及局部应用抗生素,注射TAT.预防感染,紫草油外敷,鱼肝油丸,维生素B族等常规治疗.3日后每日分离可能粘连之睑球部位.自血筋膜下注射,每周1 次,维生
Patient xx, female, 30 years old, case number: 130791. July 19, 1991 at 10 o’clock was high-pressure plastic tube liquid plastic burns the face. Severe pain, depending on the material missing, that is, immersion cold water for about 3 minutes, 1 hour later hospital emergency. Visual inspection: right: the number refers to / 20cm, left: manual / 5cm. Double eyelid see the size of the blisters, left upper eyelid dry skin, dark color. Symposium Conjunctival most of the full-thickness necrosis, erosion, no significant scleral abnormalities. Corneal edema turbid (+++), up to the depth of the real shallow range of about 3/4 of the left corneal epithelium exfoliation. Eyelid Ⅱ ~ Ⅲ degree, area (++++); conjunctival Ⅲ degree, area (++++); right cornea Ⅱ ~ Ⅲ degree, left corneal Ⅲ degree, (++++) Treatment: remove necrotic tissue, systemic and topical antibiotics, injection of TAT, prevention of infection, lithospermum topical, cod liver oil pills, vitamin B group and other routine treatment .3 days after the possible separation of adhesion of the eyelids Ball site. Since the blood subconjunctival injection once a week, subsistence