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我科于1992年8月至今.对21例角膜板栗刺的患者,在裂隙灯下进行剔除术,现介绍如下。1 临床资料 患者,21例,均是男性,年龄15～50岁,板栗刺根数多者8根,少者3根,伤后就诊时间最长5天,最短1天,临床上都已出现疼痛,畏光,流泪等症状。2治疗方法 先取2％利多卡因5ml,分别做眼轮匝肌和球后麻醉,再用氯霉素眼水进行结膜囊冲洗,然后用开脸器开脸。在裂隙灯下对位置深或斜刺入的板栗刺.用剃须刀片,顺板栗刺进入的方向,划开其对应处表面角膜,再用7号消毒针接盛有生理盐水的注射器.顺切开的角膜,向板栗刺进入的相反方向.逐步挑拨出异物。而对位置浅或垂直进入的板栗刺,可采取紧贴一侧直接挑拨,待露出部分板栗刺后.用镊子先夹取.术毕再用氯霉素眼水,反复冲洗角膜异物的入口,并
Our department from August 1992 to the present.Twenty-one patients with corneal chestnut thorn in the slit lamp for excision, are described below. 1 clinical data of patients, 21 patients were male, aged 15 to 50 years old, chestnut more than the number of root spur 8, less 3, the longest post-injury treatment for 5 days, the shortest 1 day, clinically have emerged Pain, photophobia, tearing and other symptoms. 2 treatment first take 2% lidocaine 5ml, respectively, orbicularis oculi muscle and ball anesthesia, then chloramphenicol eye water conjunctival sac rinse, and then open the face with a face. In the slit lamp on the chest deep or oblique position into the chestnut thorn. With a razor blade, chestnut thorn into the direction of the opening, cut open its corresponding surface cornea, and then No. 7 sterile needle connected saline syringe. Cut open the cornea, chestnut stabbed into the opposite direction. Gradually sneak a foreign body. The shallow or vertical position into the chestnut thorn, can take close to the side of the direct sowing, to be exposed after some chestnut thorn. Tweezers first clip. Reopened with chloramphenicol eye water, repeatedly rinse corneal foreign body entrance, and