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患者,男,24岁,农民,住院号3371.4小时前因玩蛇不慎被其毒液喷人左眼(距离30cm),即感左眼剧痛、畏光流泪.视物模糊.未做处理,经休息无好转于1995年7月2日下午3时来诊.既往无眼病史.神志清醒,痛苦面容.全身检查未见异常.血常规、胸透、心电图检查均正常.眼部检查:视力右1.5,左0.1.左眼混合性充血((?)),角膜上皮及实质层混浊水肿.直径约8mm,后弹力层皱摺.房水清晰,KP(-),晶体透明,瞳孔对光反射迟钝.眼底隐约可见,未见视网膜出血或渗出.诊断:左眼蛇毒伤.入院后立即大量生理盐水冲洗左眼结膜囊,庆大霉素加地塞米松结膜下注射,滴1%阿托品滴眼液及红霉素眼膏.口服消炎痛、肌苷、维生素C、AD、B_2.次日换药角膜上皮及实质层混浊水肿减轻,后弹力层皱摺减少,视力0.4.再次结膜下注射.第3天角膜水肿及后弹力层皱摺均消失,视力1.0(加小
Patient, male, 24 years old, farmer, hospital number 3371.4 hours ago due to play snake inadvertently by his venom spray to the left eye (distance 30cm), the left eye pain, photophobia tears .Visual blurred .No treatment, No improvement after rest on July 2, 1995 at 3 pm to visit. Past history without eye. Conscious, painful face. No abnormalities in the body examination. Blood tests, chest X-ray, electrocardiogram were normal. Eye examination: visual acuity Right 1.5, left 0.1. Mixed left eye congestion ((?)), Corneal epithelial and parenchymal opacity edema. Diameter of about 8mm, after the elastic layer wrinkles. A clear aqueous humor, KP (-), crystal transparency, pupil light Reflex dull .The fundus faintly visible, no retinal hemorrhage or exudation.Diagnosis: left eye snake poisoning.A large number of normal saline flush immediately after admission, conjunctival sac, gentamicin plus dexamethasone subconjunctival injection, 1% atropine drops Eye drops and erythromycin ointment. Oral indomethacin, inosine, vitamin C, AD, B_2. The next day dressing corneal epithelial and parenchymal opacity edema reduced after the elastic layer wrinkles reduced vision 0.4. Subconjunctival injection On the third day, corneal edema and folds of the elastic layer disappeared, and the visual acuity was 1.0 (plus small