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患者李××,女,43岁,农民,住院号348701.入院日期:1993年3月1日.因颜面部被马踢伤、左眼红、痛、视力下降12天收入院.12天前不慎被马踢伤颜面部,在当地医院就诊,仅缝合鼻背部皮肤裂口,未处理眼球创口,6日后发现左眼仅可见光感,行左眼球探查术,缝合巩膜裂口,术后静脉滴注先锋霉素V注射液等治疗,效果不佳,转入我院.查体:全身检查无异常,眼部检查:视力、右0.5,-1.00D=1.0,左无光感.左眼睑瘀血、肿胀、混合性充血,角膜上方距角膜缘5mm可见约12mm结膜裂口,对合不良,结膜缝线在位.距角膜缘6mm可见7mm长巩膜裂口,对合良好,并可见4针巩膜缝线线结,左眼角膜弥漫性云雾状水肿,内弹力
Patient Lee × ×, female, 43 years old, resident, hospital number 348701. Date of admission: March 1, 1993. Because the facial was kicked by the horse, left eye redness, pain, vision loss 12 days income hospital .12 days ago She was kissed by the horse with a clean face and was seen at a local hospital. Only sutures of the skin at the nostril were sutured and no eyeball was sutured. On the 6th, she found that the left eye was only visible, and left eyeball exploration was performed. The scleral cleft was sutured and the postoperative intravenous drip pioneer Check the body: no abnormalities, eye examination: visual acuity, right 0.5, -1.00 D = 1.0, left no light feeling left eyelid blood stasis, Swelling, mixed hyperemia, the cornea above the corneal margin of 5mm can be seen about 12mm conjunctival tear, the bad joint, conjunctival suture in. From the corneal edge 6mm 7mm long scleral tears can be seen good, and good 4S needle scleral suture line Knot, left cornea diffuse cloudy edema, internal elasticity