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眼睑的碱性烧伤波及眼球者少见,作者遇到1例,报告如下:李××,女,21岁,住院号388731,于1993年7月26日以眼部碱烧伤入院.3个月前患者在四肢被绑,数人按地不能动弹的情况下,他人将事先准备于注射器内的食用碱水溶液约1～2ml注入其左上睑组织内,患者未感有液体直接进入结膜囊内,无眼痛、畏光或流泪.数分钟后左上睑及左侧额部高度肿胀疼痛.受害6小时后到当地医院就诊.因病人主诉眼睑及额部症状且眼睑高度肿胀痉挛而忽略眼球的检查.给予抗生素静脉点滴,25小时后发现左眼睑及左眼颞侧球结膜缺血,部分结膜已变性坏死,角膜雾状水肿,上睑提肌麻痹.追问行凶者方知为碱烧伤,测定结膜囊PH值为10.立即切开上睑,以中和液反复冲洗伤口及结膜囊,结膜下注射维生素C并配合全身药物治疗,住院2月余视力逐渐下降.转入我院时检查:视力右眼1.5,左眼眼前手动,光投射及色觉良好.左上睑偏内侧一横行10mm长皮肤线状瘢痕.上睑下垂完全不能上举,睑结膜及球结膜表面光滑,未见明显瘢痕组织,充血(++),角膜弥漫灰白色浑浊变性,鼻下方角膜深层新生血管向角膜中央长
Eyelid alkaline burn affected the eye is rare, the author encountered 1 case, the report is as follows: Lee × ×, female, 21 years old, hospital number 388731, July 26, 1993 with ocular alkali burn hospitalization .3 months ago Patients were tied in limbs, the number of people can not move according to the ground, the others will be prepared in advance in the syringe of aqueous alkali solution about 1 ~ 2ml into the left upper eyelid tissue, the patient did not feel the liquid directly into the conjunctival sac, no Eye pain, photophobia or tearing.After a few minutes, the left upper eyelid and left forehead were swollen and painful, and they were taken to a local hospital after 6 hours of injury.Due to the patient complaining of eyelid and forehead symptoms and swollen spasm of the eyelid, the eyeball was ignored. Given intravenous antibiotics, 25 hours after the discovery of the left eyelid and temporal temporal hemoconjunctival ischemia, partial degeneration and necrosis of the conjunctiva, corneal edema, levator aponeurosis.According to the perpetrators were known as alkali burns, determination of conjunctival sac PH value of 10. Immediately cut the upper eyelid to repeatedly wash the wound and conjunctival fluid in the conjunctival sac, subconjunctival injection of vitamin C and with systemic drug therapy, hospital stay in February gradually decreased visual acuity. Into our hospital check: visual acuity Eyes 1.5, manual left eye, light projection and color Feel good .Left left upper eyelid medial side of a transverse line 10mm long linear scars.Plant ptosis can not be on the move, palpebral conjunctiva and conjunctival surface smooth, no obvious scar tissue, hyperemia (+ +), corneal diffuse gray turbid degeneration, Deep nasal corneal neovascularization to the central cornea long