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破伤风为急性特异性感染,在临床中较常见,但在眼外伤中较少发生。作者遇到一例,报告如下。 何某某,男,25岁,工人,住院号1867。于1984年2月27日入院。17天前,患者在点燃自制土火炮时击伤双眼,在某县医院诊断为左眼球破裂,右角膜异物。行左眼球摘除,右角膜异物剔除,肌注青、链霉素(未注射TAT)。第7天始不能张口,出现面肌抽搐。曾静脉点滴TAT3天(用量不详)。病情无好转而转入我院。既往无类似抽搐史。 体检:T36℃,BP130/80mmHg,神志清楚,自动体位,苦笑面容,张口一指,颈软,心肺无异常,肝脾未扪及,神经系统未引出病理反射。化验:血色素14g％,白
Tetanus is an acute, specific infection that is more common in the clinic but less often in ocular trauma. The author encountered an example, the report is as follows. He Moumou, male, 25 years old, worker, hospital number 1867. Admitted to hospital on February 27, 1984. 17 days ago, patients wounded both eyes when igniting homemade artillery, diagnosed as left eyeball rupture and right corneal foreign body in a county hospital. Left eyeball removal, removal of right corneal foreign body, intramuscular injection of green, streptomycin (not injected TAT). The first seven days can not mouth, facial muscle convulsions. Once intravenous TAT3 days (dosage is unknown). No improvement and transferred to our hospital. No previous history of similar convulsions. Physical examination: T36 ℃, BP130 / 80mmHg, conscious, automatic position, smile face, a mouth, neck soft, no abnormal heart and lung, liver and spleen not palpable, the nervous system does not lead to pathological reflex. Assay: hemoglobin 14g%, white