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杨某,男,23岁,农场工人,住院号:49608.因右上睑缺如,下睑外翻,眼球萎缩于1990年12月3日入院.患者于1989年11月因工作不慎炸药爆炸受伤被送入海南农恳医院抢救,4个月后来我院整形.眼部检查:视力:右眼无光感,左眼1.5.右上睑完全缺如,眉弓瘢痕留外1/3眉毛变位,下睑外翻,结膜充血肥厚,眼球萎缩.左角膜斑翳,其他未见异常.治疗经过:1990年12月20日局麻下行右上睑再造.从上睑皮肤缘分离穹窿部结膜,向下牵引固定在内外毗做睑结膜.取异体巩膜条15×5mm 替代睑板,固定于内外眦与睑结膜缝合.眼窝内置带孔义眼缝合固定.下睑缘切开,上下睑缘连续缝合,内外眦留空隙置胶条以利于分泌物排出.取皮样从颞侧皮肤做带蒂旋转全厚带孔皮瓣置于上下睑.
Yang, male, 23 years old, farm worker, hospital number: 49608. Due to absence of the right upper eyelid, eyelid eversion, and atrophy of the eyeball were admitted to hospital on December 3, 1990. The patient exploded explosively in November 1989 for work Injured was sent to Hainan Agricultural Hospital for salvage, 4 months later, our hospital plastic. Eye examination: visual acuity: the right eye without light perception, left eye 1.5 right upper eyelid completely absent, eyebrow scar left 1/3 eyebrows hair changes Bit, eyelid eversion, conjunctival congestion and hypertrophy, atrophy of the eye .Left corneal canthus, the other without exception .After treatment: local anesthesia on December 20, 1990 underwent reconstruction of the right upper eyelid .Frontal eyelid skin from the separation of the conjunctiva, Traction down fixed in the inner and outer adjacent to the conjunctiva. Take all sclera 15 × 5mm instead of the tarsal fixed in the inner and outer 眦 and conjunctiva suture. Orbital built-hole suture with suture fixation. Lower eyelid margins, upper and lower eyelid continuous Stitching, leaving a gap between the internal and external 胶 plastic strips in order to facilitate discharge of secretions. Take skin samples from the temporal skin pedicle rotation full thickness perforated flap placed on the lower eyelid.