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关于成人泪小管断裂的手术种类很多,而有关小儿泪小管断裂吻合手术成功的报告甚少。现将我科所做一例直接插管法吻合小儿泪小管断裂成功手术报告如下.患儿,男,5岁.左眼被外婆家狗咬伤2h,于1991—05—20急诊入院.入院时体格检查正常.眼部检查,视力右眼1.0.左眼0.9.右眼检查未见异常。左眼上下眼睑均在内眦部全层撕裂,上睑内眦部垂直创口约1.5cm,下睑内毗部斜行创口约2,0cm.左眼上下睑多个约1.0cm 浅层皮肤抓伤,上下泪小管均断裂.左眼球结膜充血(++),角膜透明,前房中深,房水清,双侧瞳孔等大同圆,光反射良好.晶体及玻璃体清,眼下 T_n,眼球运动正常,眼底未见异常.当日在全麻下行左眼睑清创缝合、
There are many types of surgical procedures for the diagnosis of adult lacrimal duct rupture, and little is known about the success of pediatric lacrimal duct rupture anastomosis. Now we made an example of direct intubation in children with pedunculated lacrimal duct rupture successfully reported as follows. Children, male, 5 years old. The left eye was bitten by grandmother dog 2h, admitted to the emergency room in 1991-05-20. Physical examination was normal. Eye examination, right eye 1.0. Left eye 0.9. Right eye examination no abnormalities. Left and right upper eyelid tear in full thickness within the Ministry of the Ministry of the upper eyelid bilge vertical wound about 1.5cm, the lower eyelid oblique oblique wound about 2.0cm. Left and right upper and lower eyelid more than about 1.0cm shallow skin Scratch, upper and lower tear tubules are broken. Left eye conjunctival hyperemia (++), corneal transparency, anterior chamber in the middle, aqueous humor, bilateral pupil and other Datong circle, light reflection is good. Crystal and vitreous clear, now T_n, Exercise is normal, no abnormality of the fundus. On the day under general anesthesia debridement and suturing left eyelid,