眼球、眼眶内的异物是常见的,但一般异物较小,今遇1例贯穿了眼球、眼眶并到达颅内的巨大金属异物,实属少见,报告如下: 患者男,钢厂工人,22岁。1989年7月3日在车间操作中被飞来物体击伤左眼。即感左眼疼痛,视力消失且伴有出血。随后出现恶心、呕吐,呕吐物为胃内容物,持续约4小时,以后每遇体位变动时仍有出现,经用药物后控制(药名欠详)。当地医院行眼眶X线拍片及B超均未发现异物,故只将左眼球巩膜穿孔伤口修补。随访中左眼球逐渐萎缩仍伴有充血,患者拒绝摘除。于1989年10月17日来我院就诊,眼部检查:右眼视力 Eye, orbital foreign body is common, but generally smaller foreign body, now encountered a case of penetrating the eye, orbital and reached the intracranial huge metal foreign body, it is rare, the report is as follows: Male patients, steel workers, 22 years old . July 3, 1989 in the workshop operation was flying objects wounded left eye. That is, left eye pain, vision loss and bleeding. Followed by nausea, vomiting, vomit for the stomach contents, continued for about 4 hours, after every change in body position still occur, after the use of drug control (lack of details). Local hospital line orbital X-ray and B-were found no foreign body, so only the left eye sclera perforated wound repair. Follow-up of the left eye is still shrinking with congestion, the patient refused to remove. In October 17, 1989 came to our hospital, eye examination: right eye vision