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例1 男25岁工人用自制鸟枪打靶时,枪管爆炸,枪管后节射入右眼眶内。当时右眼剧痛,伤口流血,未昏迷,立即送我院诊治。右眼眶外侧插着直径约1.2cm 的钢管,外露部分长11cm,略斜向内上方。眼睑紧闭,眼内情况不清。右耳屏前皮肤膨隆,扪之皮下有一圆筒状物,质地坚硬。外耳道无出血,张口受限。x 线照片显示右侧眼眶内有一巨大金属异物,侧位片见异物颅内段约9cm,异物内侧端与乳突部重叠,正位片见右侧眼眶内异物从内向外斜行,并穿出颞部颅骨。x 线诊断:右眼眶内巨大金属异物。入院后立即在全麻下行异物取除术。探查异物经右上
Example 1 When a 25-year-old worker targets a homemade bird-shot gun, the barrel explodes and the barrel enters into the right orbit. At that time the right eye pain, wound bleeding, unconscious, immediately sent to our hospital for treatment. Right lateral orbital insertion of a diameter of about 1.2cm steel pipe, the exposed part of the length of 11cm, slightly oblique upward inside. Eyelid closed, intraocular conditions unclear. The right ear screen before the skin bulging, palpable subcutaneous has a cylindrical, hard texture. External auditory canal without bleeding, mouth limited. X-ray images showed a huge metal foreign body in the right orbital, lateral see the intracranial segment of foreign body about 9cm, the medial end of the foreign body overlaps with the mastoid, the anteroposterior see the right orbital foreign body oblique from the inside to the outside, and wear Out of the temporal skull. X-ray diagnosis: right eye orbital huge metal foreign body. Immediately after admission, the foreign body was removed under general anesthesia. Foreign body exploration by the right