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黄××,男性,21岁,病案号67032,因右眼被火枪后栓击伤3小时入院.体查:急性病容,表情痛苦,体征正常.右眼视力无光感,内眦部皮肤处见20mm直径类圆形裂口,局部渗血,眼睑肿胀,眼球运动障碍,结膜下出血,角膜完整,前房消失.眼内容看不清,眼压T_(-2).治疗经过:局部清创.探查伤口深约10mm处触及质硬异物,不能移动.为进一步确诊术中做眼眶X线摄片:右眼鼻侧眶内缘至右颞部见粗大钢丝金属密影,内端带有螺丝及弹簧钢丝.再
Huang × ×, male, 21 years old, the case number 67032, because the right eye was shot after the bolt hits 3 hours admitted. Physical examination: acute illness, facial expression pain, signs of normal right eye vision no light, See 20mm diameter round rips, local bleeding, swelling of the eyelids, eye movement disorders, subconjunctival hemorrhage, corneal integrity, anterior chamber disappeared. Eye content can not be seen, intraocular pressure T _ (- 2). After treatment: local debridement . Explore the wound at a depth of about 10mm touch hard foreign body, can not move.For further diagnosis of intraoperative orbital X-ray: the right orbital rim of the right orbital to the right temporal see thick steel wire metal shadow, the inner end with screws And spring steel wire