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孔××,女,24岁,职工.患者在用三氯甲烷粘合塑料制品时不慎溅入右眼内.当即右眼剧痛,不能睁开、有烧灼及磨擦感.用自来水冲洗右眼后来我院眼科急诊.查体无明显异常.眼部检查:右眼视力光感,眼睑红肿,难以分开,睑缘皮肤糜烂.滴1%地卡因液后用开睑钩拉开上下睑,见球结膜水肿,结膜下片状出血,角膜中央部有4mm~2角膜上皮呈灰白色.前房深度正常,房水问辉(一).瞳孔2mm,光反射存在,眼底窥不清.左眼正常.诊断:右眼化学伤.治疗:立即用生理盐水500ml连接1次性输液器持续冲洗右眼结膜囊15分钟,静滴
Hole × ×, female, 24 years old, workers. Patients with trichloromethane adhesive plastic products accidentally splashed into the right eye. Immediately right eye pain, can not open, there is burning and friction feeling. Flush with tap water right Ocular ophthalmology after the emergency eyes. Examination no obvious abnormalities. Eye examination: the right eye light perception, swelling of the eyelids, it is difficult to separate, eyelid skin erosion. Dripping 1% dexamethasone solution opened the upper and lower eyelid , See the conjunctival edema, subconjunctival hemorrhage, the central cornea has 4mm ~ 2 corneal epithelium was gray white .Anterior chamber depth normal, room water Qifen (a) .Puploid 2mm, light reflection exists, peep unclear. Eye is normal. Diagnosis: right eye chemical injury. Treatment: Immediately connected to a disposable infusion 500ml normal saline continuous right eye conjunctival sac for 15 minutes, intravenous infusion