论文部分内容阅读
杨××,男,19岁,农民。因被他人故意伤害,用刀砍伤头部,铁棍撬伤双眼,致右眼球完全脱出,双眼失明6小时.於1991年7月3日晚急诊入院。检查:神志清楚,心肺正常。头部皮肤裂伤6条创口,长约4~10cm,不等,外观及触诊无骨折,左耳廓伤约3cm长。视力双眼均无光感,眼睑高度肿胀,启闭受限,鼻侧上下睑全层裂伤约1cm长。右眼球完全脱出悬於眶外颞部,视神经及6条眼外肌完全断离,视神经残端约1.2cm长,仅余一小条筋膜组织与眼球相连。眶内少量渗血,角膜干燥混浊,内眼不能窥见。左眼球结膜距角膜缘4mm,呈
Yang × ×, male, 19 years old, farmer. Because of being deliberately hurt by others, cut his head with a knife, iron bars rammed his eyes, resulting in complete removal of the right eye, his eyes blind for 6 hours in the evening of July 3, 1991 emergency admission. Check: Consciousness, normal heart and lungs. Head skin laceration wound 6, about 4 ~ 10cm, ranging from appearance and palpation without fracture, left ear contour wound about 3cm long. Eyes were no light sense of eyelid swelling, opening and closing is limited, the full thickness of the upper and lower eyelid laceration about 1cm long. The right eye completely prolapsed over the orbital temporal, optic nerve and 6 extraocular muscles completely broken off, the optic nerve stump is about 1.2cm long, only a small fascia and eyeball connected. Small orbital bleeding, corneal dry and cloudy, the eye can not see. Left eye conjunctiva from the limbus 4mm, was