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患者女,48岁。1999年4月12日晚散步时被绊摔倒,面部先着地,当时无昏迷,无恶心呕吐;鼻根部挫裂伤经清创缝合后回家。当夜患者双手发凉、麻痛、难以人睡,口服去痛片、热敷未缓解。次日早晨来院,以鼻根部挫裂伤清创缝合术后、雷诺氏病收住院。查体:血压16/10kPa,脉搏85次/分。鼻根部角形伤口已缝合,双眼睑瘀血、肿胀呈紫色,右眼视物稍模糊,瞳孔等大等圆,对光反射存在,鼻尖和上唇肿胀,鼻腔和外耳道无异常溢出物。心肺听诊无异常。双手凉、
Female patient, 48 years old. On the evening of April 12, 1999, he was stumbled and fell while walking. The face first landed on the ground. At that time, no coma and no nausea and vomiting were found. The nasal root laceration and trauma went home after debridement and suturing. Patients with cold hands that night, numbness, difficult to sleep, oral pain tablets, heat did not ease. The next morning to the hospital, nasal debridement and suture wound debridement, Raynaud’s disease admitted to hospital. Physical examination: blood pressure 16 / 10kPa, pulse 85 beats / min. Coronal nasal corner wound has been sutured, double eyelid blood stasis, purple swollen, right eye as a little blurred vision, pupil and other large circle, the presence of light reflex, nasal tip and upper lip swelling, nasal and external auditory canal no abnormal spill. Cardiopulmonary auscultation no abnormalities. Hands cool,