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患者,男,40岁,住院号213339.11天前左眼被狂犬咬伤,在当地行清创缝合,青霉素80万u肌注每日2次,狂犬疫苗2ml分别于伤后第3天、第7天肌注.5天前拆线.为治疗下泪小管断裂于1988年1月23日入我院.全身检查无异常.眼科检查视力双眼1.5,右眼未见异常;左眼下睑内侧不规则瘢痕,眼睑轻度外翻,自下泪点进针冲洗液返流,探针距泪点3mm处阻挡.于1月25日局麻下行泪小管吻合加环管插管术,手术顺利,术后青霉素80万u肌注每日2次,链霉素0.5g肌注每日2次,伤口愈合良好,6天拆线.2月1日即术后7天患者突然高热,精神萎糜,不思饮食,伴头痛恶心,体温39.1℃,心肺无异常.血常规Hb15.1g%,W.B.C12×10~3/mm~3,
Patients, male, 40 years old, hospitalization 213339.11 days ago rabbits were bitten by rabies in the local line debridement and suture, penicillin 800000 u intramuscular injection twice a day rabies vaccine 2ml respectively on the 3rd day after injury, 7th Intramuscular injection .5 days ago stitches .Treatment of lacrimal duct rupture in January 23, 1988 into our hospital.White body examination without exception.Ophthalmoscopy eyesight 1.5, no abnormalities in the right eye; left eye lower eyelid irregular Scars, eyelid mild valgus, under the punctate needle into the flushing fluid reflux, the probe away from the punctate 3mm Department in. On January 25 local anesthesia plus lacrimal duct anastomosis plus loop intubation, surgery was successful, surgery Penicillin 800 000 u intramuscular injection 2 times a day, streptomycin 0.5g intramuscular injection 2 times a day, the wound healed well, 6 days stitches .2 February 1 7 days after surgery patients with sudden high fever, spiritual wilt, Not eating, with headache and nausea, body temperature 39.1 ℃, no abnormal heart and lung blood Hb15.1g%, WBC12 × 10 ~ 3 / mm ~ 3,