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金××,男,25岁,工人.住院号007066.因电动切割机上砂轮破裂,致头、面部外伤6小时入院.体检:神志清楚,血压16/10kPa(1kPa=7.5mmHg),脉膊80次/分,心肺检查正常,未见病理反射.局部检查:右眼黑蒙,左眼视力1.5.面部创口自右眼斜向下,经鼻翼、上口角部,长约15cm.右眼眶下缘,右上颌窦前壁完全裂开,右眼睑肿胀,眼球棵露在上、下睑外.角膜浑浊,1～5点角巩膜全层破裂,眼内容物大部分脱出.CT提示:右眼球贯穿伤伴视神经断离及右上颌窦、右眼球后及右额叶异物留存.全麻下常规清创消毒,在右上颌窦内取出一3.0×4.0×0.5cm~3的砂轮块,刮除上颌窦粘膜,彻底止血,用碘仿纱条填塞并从右下鼻道引出.常规分
Jin × ×, male, 25 years old, worker. Hospital number 007066. Due to rupture of grinding wheel on electric cutting machine, the head and facial trauma were admitted for 6 hours.Checking: Consciousness, blood pressure 16 / 10kPa (1kPa = 7.5mmHg), pulse 80 Times per minute, cardiopulmonary examination was normal, no pathological reflex.Partial examination: the right eye dark, visual acuity of the left eye 1.5.The facial wound obliquely from the right eye, the nose, the mouth of the corner, about 15cm. Right anterior wall of the maxillary sinus completely split open, the right eyelid swelling, eyeball exposed on the upper and lower eyelid .Corneal opacity, 1 to 5 o’clock scleral full-thickness rupture, most of the prolapse content.CT tips: the right eye through the wound Accompanied by the separation of the optic nerve and right maxillary sinus, right eye and right frontal lobe retained after general decontamination under general anesthesia in the right maxillary sinus removed a 3.0 × 4.0 × 0.5cm ~ 3 wheel block, curettage maxillary sinus Mucosa, complete hemostasis, stuffed with iodoform gauze and leads from the right lower nasal passages