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患者男性,23岁,左侧泪囊部被汽枪子弹击中伴鼻衄五天,检查:左眼内眦下方有小弹孔伤口,左侧后鼻孔顶部有暗红色血液。头颅正侧位片示左侧蝶窦后下壁有一0.4×0.6cm大小金属影。复于弹孔入口处缝一金属螺丝帽作标记,再次摄片,测出标记与异物间有关数据,其间直线距离为7.5cm。后在复合麻醉下经鼻外筛窦进路,切除前后组筛房及纸板,于筛后动脉孔水平转向内侧凿开蝶窦前壁并扩大,于左侧蝶窦后内下壁近蝶窦中隔处找到并取出异物。此为一汽枪子弹,有0.4×0.5×0.4cm大小。术后创口一期愈
Male, 23 years old, left dacryocyst part was hit by a shotgun with a rhinoplasty for five days. Check: There was a small bullet wound below the left eyelid and a dark red blood on the top of the left nostril. The skull is on the left lateral sphenoid sinus showed a 0.4 × 0.6cm after the next wall size metal shadow. Complex at the entrance of the bullet hole sewn a metal screw cap for marking, shooting again, measuring the data between the mark and the foreign body, during which the straight line distance of 7.5cm. After compound anesthesia by nasal ethmoidal sinus approach, removal of before and after the group of screening room and cardboard, after the sieve artery level turned to the medial dilatation of the anterior wall of the sphenoid sinus and enlarged in the left sphenoid posterior inferior sphenoid sphenoid sinus Septum to find and remove foreign bodies. This is a steam gun bullet, 0.4 × 0.5 × 0.4cm size. More wounds after surgery