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患者男性7岁左眼被狂犬咬伤22小时来院就诊。患儿在放学回家途中被狂犬咬伤左眼,当时只发现眼睑皮肤轻微划伤。在当地卫生所进行局部消毒和注射狂犬疫苗2ml。第2天发现角膜破裂,除眼睑轻微损伤外,角膜由9点处边缘向中央有一穿通性伤口,长约5mm。伤口不整齐,在虹膜组织嵌顿。住院后,立即在全麻下清创缝合,恢复虹膜。结膜下注射庆大霉素2万单位和地塞米松2mg,涂1%阿托品眼膏,单眼包扎。周身应用抗菌素、地塞米松和TAT1500单位。先后注射狂犬疫苗3次,每次2ml。眼部常规换药,伤口愈合良好。晶体未混浊。在咬伤
Male 7-year-old left bitten rabies dog bite 22 hours to the hospital. On the way home from school, children were bitten by rabies left eye, then found only a slight scratched skin eyelids. Local disinfection and injection of rabies vaccine in local health 2ml. Corneal rupture was found on the second day. Except for slight eyelid injury, the cornea had a penetrating wound from the 9 o’clock edge to the center, about 5 mm long. Wound irregular, incarcerated in the iris. After hospitalization, debridement and suturing immediately under general anesthesia to restore the iris. Subconjunctival injection of gentamicin 20000 units and dexamethasone 2mg, coated with 1% atropine ointment, monocular bandaging. Whole body application of antibiotics, dexamethasone and TAT1500 units. Has injected rabies vaccine 3 times, each 2ml. Regular eye dressing, wound healing is good. Crystal is not cloudy. Biting