李××,女,1(1/2)岁,1978年3月15日初诊。父母代诉:左眼从外边流泪一年多。现病史:患儿半岁左右开始每啼哭时左眼外边皮肤有一小孔流泪,而该眼无泪,一年来无变化。眼科检查:不合作,啼哭时该眼裂无泪,但在距该眼外眦15mm水平方向稍上3mm处皮肤有一针尖样小孔有泪样液流出,每分钟约10滴左右,哭闹停止时排液亦停止,小孔闭合,不易发现。其它未见异常。小儿科检查:血液化验等均未见异常。诊断:左眼先天性泪腺管开口异位。4月20日在基础加局麻下行异位泪腺管切除合并泪腺穹窿部缝线引流造瘘术,术后加压包札48小时。4月28日拆皮肤缝线,切口一 Lee × ×, female, 1 (1/2) years old, March 15, 1978 newly diagnosed. Parental Appeal: Left eye tears from the outside for more than a year. History of illness: Children around the age of six or so every time crying outside the left eye there is a small hole in the skin tears, and the eyes without tears, no change over the past year. Eye examination: non-cooperation, crying when the eye tears without tears, but in the eye from the outer 眦 15mm horizontal direction slightly 3mm at the tip of the skin there is a small hole like a sample of tears flow out of about 10 drops per minute, crying stopped When the drainage is also stopped, the hole closed, not easy to find. No other abnormalities. Pediatric examination: no abnormalities such as blood tests. Diagnosis: left eye congenital lacrimal duct ectopic. April 20 in the foundation plus local anesthesia with ectopic lacrimal duct resection combined with lacrimal duct sutures draining fistulation, postoperative compression Sapporo 48 hours. April 28 demolition of skin suture, incision