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患者李××,男,11岁,住院号38675.玩耍时被他人用葛针扎伤左眼,当时流泪及血性泪液,不能睁眼,次日来我院.于1986年7月30日收住院治疗.入院检查:发育正常,营养中等,神志清,检查不合作,心肺(-),眼部情况:视力因患儿不合作未查,左眼睑轻度水肿,结膜中度混合性充血,9点处可见角膜有一不整齐舌形伤口.未见眼内容物脱出,前房浅,Ⅲ积血,瞳孔区可见膜状渗出物.其它窥不清.X线眼眶正侧位未见异物.入院诊断:左眼角膜穿通伤、限内炎、前房积血.入院后全身应用抗生素,于8月1日在全麻下行角膜伤口清创缝合术.用生理盐水冲洗前房积血,用5—0丝线间断缝合角膜3针,伤口对合良好.球结膜下注射庆大霉素2万u及氟美松2.5mg,涂抗生素眼膏包扎双
Patient Lee × ×, male, 11 years old, hospital number 38675. Play was being used GE needle stab the left eye, then tears and bloody tears, can not open your eyes, the next day to our hospital. Hospitalization. Admission examination: normal development, moderate nutrition, conscientiousness, check uncooperative, cardiopulmonary (-), eye conditions: visual acuity due to uncooperative children not checked, left eyelid mild edema, conjunctival moderate mixed congestion, At 9 o’clock the cornea showed an irregular tongue-shaped wound.No eye content prolapse, anterior chamber shallow, Ⅲ hemorrhage, pupil area visible membranous exudate.Other other peep unclear.X line orbital positive side no foreign body Admission diagnosis: left corneal penetrating injury, endophthalmitis, anterior chamber hemorrhage .After admission, systemic antibiotics, on August 1 corneal wound debridement and suture under anesthesia with saline flushing anterior chamber hemorrhage, Intermittent 5-0 silk suture corneal 3 needle, the wound together well. Conjunctival injection of gentamicin 20,000 ug and dexamethasone 2.5mg, coated antibiotic eye ointment double