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病例介绍患者××.男,20岁。1960年9月18日15时左右,在拣木柴时,被同伴投劈柴块击中右眼。当即昏倒(约20分钟),清醒后觉右眼、右鼻孔有流血。经简单急救,于9月19日6时40分送入本科。体格检查:发育、营养均佳,意识朦胧。体温37.7℃,脉搏60次/分钟,血压108/56毫米汞柱,有恶心、颈部运动欠佳,不思饮食。右颧骨内上方及鼻梁中部之皮肤膨胀,皮下积气,以指按之有握雪感,皮肤有出血点(散在性)。X线右眼眶部摄影:未发现异常。血液化验检查:白血球10,000,中性83%,淋巴17%。脑脊液检查:每分钟60滴(未作压力测定),镜检为无色微混,潘氏反应弱阳性,白血球12/毫米~3。其它无异常。局部检查:右眼睑高度浮肿,睑皮下有出血。球结膜重度充血、水肿,以致突出于睑裂外(约
Case description Patients × ×. Male, 20 years old. At about 15:00 on September 18, 1960, when picking firewood, he was hit by a fellow firewood block in the right eye. Immediately collapsed (about 20 minutes), awake feel right eye, right nostril bleeding. After a simple first aid, at 19:40 on September 19 into the undergraduate. Physical examination: development, nutrition are good, ambiguous. Body temperature 37.7 ℃, pulse 60 beats / min, blood pressure 108/56 mm Hg, nausea, poor neck movement, do not think diet. Right cheekbone and the middle of the nose and middle of the nose skin expansion, subcutaneous gas, according to the finger that there is a sense of snow, the skin bleeding (scattered sex). X-ray right eye orbital photography: no abnormalities found. Blood tests: white blood cells 10,000, 83% neutral, lymphatic 17%. Cerebrospinal fluid examination: 60 drops per minute (no stress test), microscopic examination as a colorless micro-mixed, weak positive Pan’s reaction, white blood cells 12 / mm ~ 3. No other abnormalities. Local examination: a high degree of eyelid edema, blepharospasm bleeding. Bulbar conjunctiva severe congestion, edema, so that prominence in the palpebral fissure (about