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眼球钝挫伤所致前房出血,临床常见,尤多见于儿童。对这种情况的处理原则上是将眼包扎,半卧休息,不扩瞳,不缩瞳,加用止血药物。积血多眼压高时作前房穿刺放出积血或采用角巩膜缘切开取出血凝块。前房出血少者,伤后七天内可以自行吸收,但对于严重外伤性前房完全性积血继发青光眼者,按上述处理难于收效,积血不但不能吸积收,而且会形成角膜血染并严重影响视力及外观。我们在张国柱等人应用甘露醇治疗严重外伤性前房出血的启示下,在石阡县人民医院应用甘露醇治愈两例严重外伤性前房出血,现在报告如下:
Eye contusion caused by anterior chamber bleeding, common clinical, especially seen in children. In principle, the handling of this situation will be bandaged eyes, rest half-time, no dilatation, no miosis, plus hemostatic drugs. Ocular hemorrhage when the prehospital needle puncture hemorrhage or corneal limbal removal of blood clots. Less bleeding in the anterior chamber, within seven days after injury can be absorbed on their own, but for severe traumatic anterior chamber complete hemorrhage secondary glaucoma, according to the above treatment is difficult to effect, not only can not accumulate hemoperfusion accumulate, but also the formation of corneal blood stained And seriously affect the eyesight and appearance. Our application of mannitol in Zhang Guzhu, who suffered from severe traumatic hyphemorrhage inspired by the application of mannitol in Shiqian County People’s Hospital to cure two cases of severe traumatic hyphema, are now reported as follows: