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例1:患者谷××,男,36岁,工人。于1979年12月8日在自制土枪引爆时,被枪托后坐力击伤右颌面部及右肩部,当即昏迷,数分钟后清醒来院急诊。检查:神志清楚,合作,右面部由耳屏到颧突至下颌角软组织呈三角形全层撕裂伤,颧突、喙状突小片状骨折,右肩部皮肤挫伤。右眼视力1.5,左眼视力0.8,瞳孔6mm(缩瞳药无效)。光反射直接间接均消失,视神经盘淡红色,无水肿,静脉怒张,A∶V=1∶2.5黄斑部色晕加深,中心窝反射分散,周边部视网膜未见异常,双眼X线片未见异常。
Example 1: Patient × ×, male, 36 years old, worker. On December 8, 1979, when a homemade gun was detonated, it was hit by a recoil wound against the right maxillofacial area and the right shoulder. Immediately after a coma, it was awakened to hospital for emergency treatment after a few minutes. Check: Consciousness, cooperation, the right side of the tragus from the tragus to the mandibular angle soft tissue triangular full laceration, zygomatic process, beak process of small plate fractures, contusion of the right shoulder skin. Right eye vision 1.5, left eye vision 0.8, pupil 6mm (miotic drug ineffective). Light reflex directly and indirectly disappear, optic disc pink, no edema, vein engorgement, A: V = 1: 2.5 macular darkening, central venous reflex scattered peripheral retinal no abnormalities, binocular X-ray films were not seen abnormal.