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病例报告:患者罗××,男,25岁,因左上睑疤痕致左眼闭合不全16年于1979年2月5日来我院门诊。检查右眼正常,左上睑疤痕,左眼闭合不全,闭合时约有2mm裂隙。其余检查均正常。左眼眶X光摄片无骨破坏。1979年4月24日在我院门诊行左上睑游离植皮术。术前左眼常规滴0.5%地卡因三次,亦按常规置角板于结膜囊以使分离疤痕组织。手术经过顺利,术后加压包扎,肌注庆大霉素,并嘱隔日换药。术后患者感眼痛,并逐渐加剧,自服止痛片,第三天眼疼痛剧烈,不能忍受而来院检查,因植片肤色好,仍按常规处理。以后病人虽有疼痛但较前缓解。术后第六天换药时发现睑裂间有较多脓性分泌物,立即拆除睑缘缝线,见结膜充血明显,角膜全部混浊,表面复盖大量脓性分泌物,并见一类似晶状体样物附着于角膜表面。眼内情况无法检查。当即疑为绿脓杆
Case Report: Luo × × patients, male, 25 years old, left upper eyelid scar caused by incomplete closure of the left eye in February 5, 1979 came to our hospital. Check the right eye is normal, left upper eyelid scar, left eye closed incomplete, closed about 2mm cracks. The remaining checks are normal. Left orbital X-ray film without bone destruction. April 24, 1979 in our hospital outpatient line left eyelid free skin grafting. Preoperative left eye routine 0.5% drops of dextrose three times, also according to the conventional angle plate in the conjunctival sac so that the separation of scar tissue. Surgery after surgery, postoperative pressure bandaging, intramuscular injection of gentamicin, and ordered the next day dressing. Patients with postoperative eye pain, and gradually aggravated, self-service painkillers, the third day of severe eye pain, can not stand to the hospital for examination, because the implant color is good, still according to conventional treatment. Although after the patient’s pain, but more ease before. After the sixth day after dressing found blepharophimosis more purulent secretions, immediately remove the eyelid suture, see conjunctival hyperemia, corneal opacity, the surface covered a large number of purulent secretions and see a similar lens Sample attached to corneal surface. Intraocular conditions can not be checked. Immediately suspected of green pus rod