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1982年我们遇到一例双眼眶尖刀贯穿伤而没有伤眼球的病例,现报告如下:病例:朱××,男,4岁,住院号:246436。于1982年7月12日急诊入院。患儿于4小时前手握自制的锯条尖刀玩耍时,不慎跌倒,前额着地,尖刀斜行刺入右眼下眶缘内侧,当时患儿无昏迷,只在伤口处流血,在当地医院拍片后转来我院。在转院途中呕吐一次,左跟上睑逐渐肿胀。体检:平卧位,神志清,精神差,血压60/40mmHg,心率90次/分,双肺、肝脾(-),病理反射(-)。眼科检查:双眼视力未查。右眼下眶缘鼻侧有一锯条斜行刺入眶内,皮肤伤口长约1.5cm,外露锯条长约5.5cm,锯条固定,在眶内不活动,上、下眼睑无异常,眼球无突出,活动良好。球结膜不充血,角膜透明,前房深浅正常,瞳孔居中,对光反应灵敏,眼底未查。
In 1982 we encountered a case of binocular pointed knife penetrating injuries without eye injury cases are reported as follows: Case: Zhu × ×, male, 4 years old, hospital number: 246436. July 12, 1982 emergency admission. Children with hand-held homemade saw blade sharp knife 4 hours ago, accidentally fell, his forehead on the ground, the sharp knife diagonally penetrated into the right orbital rim medial, when the child without coma, only bleeding at the wound in the local hospital after filming Turn to our hospital. Vomiting on the way to the transfer, left and upper eyelids gradually swollen. Physical examination: supine position, conscious mind, poor spirit, blood pressure 60 / 40mmHg, heart rate 90 beats / min, lungs, liver and spleen (-), pathological reflex (-). Eye examination: binocular vision was not checked. The right orbital edge of the nose orbital edge of a sawtooth oblique piercing the orbital, skin wound length of about 1.5cm, the exposed blade length of about 5.5cm, the saw blade fixed in the orbital inactivity, no abnormal upper eyelid, no prominent eyeball, activity good. Bulbar conjunctival congestion, corneal transparency, anterior chamber normal depth, pupil center, sensitive to light, fundus not checked.