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患者刘×,男,28岁,住院号24572.于1993年10月在急跑时不慎被突出于墙上的钢丝戳伤右眼,出血不止而急诊入院.检查:右眼视力1.0,眼球活动正常,角膜无损伤,下眼睑自泪点内缘2mm处至外眦全层撕裂伤,泪小管断离,伤口长约3cm,边缘不整齐,仅见少许皮肤及皮下组织悬挂于外眦部.处理:局麻下清创缝合,内眦部滴肾上腺素1滴.先寻找泪小管断端,将5号泪道冲洗针头由泪点进针,从泪点侧泪小管断端出针,再寻找泪囊侧泪小管断端,以两把有齿虹膜镊固定断端.针进入
Patient Liu ×, male, 28 years old, hospital number 24572. In October 1993, accidentally punctured the right eye with steel wire protruding from the wall in October 1993. Hemorrhage was not limited to emergency hospital admission. Examination: Right eye 1.0, Activities are normal, no damage to the cornea, the lower eyelid from the inner edge of the punctum 2mm Department of laceration to full thickness rips, tear canal broken away, the wound is about 3cm, irregular edges, only a small amount of skin and subcutaneous tissue hanging in the Department of the outer collar Disposal: under local anesthesia debridement and suture, the Ministry of addendum drops of adrenaline 1. Looking for the first tear canal broken ends, the lacrimal needle on the 5th lacrimal needle into the needle, from the tear punctate side of the tear tube out of the needle, Then look for lacrimal sac side of the canal broken ends, with two tipped iris tweezers fixed ends