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许××,男,22岁,农民.右眼被眼镜蛇吹风喷伤半小时就诊.1993年12月21日在野外捕蛇,在捕捉过程中,右眼被一条与眼相距约50cm,重约500g的眼镜蛇吹风喷伤,伤后右眼疼痛,流泪、睁目困难、视物模糊,由同事陪来就诊.伤前眼无眼疾.体检:全身无明显异常发现.眼科情况:视力右眼0.6,左眼1.5.右眼:眼睑痉挛,睑结膜充血(+++),球结膜弥漫充血、水肿.角膜上皮水肿、荧光素染色球结膜及角膜弥漫性点片状着色,KP(-),房水清,虹膜、晶体及眼底均无明显异常、左眼光明显异常、拟诊右眼眼镜蛇喷伤,立即在1%
Xu × ×, male, 22 years old, farmer.The right eye was a half hour spray by the cobra.On December 21, 1993 snake in the wild, in the capture process, the right eye by a distance of about 50cm with the eye, weighing about 500g of the cobra hair spray, hurt the right eye pain, tears, eyesight difficulties, blurred vision, accompanied by the treatment of colleagues. Pre-injury eye without eye disease. Physical examination: No obvious body abnormalities found. , The left eye 1.5. The right eye: blepharospasm, conjunctival hyperemia (+++), conjunctival diffuse congestion and edema. Corneal epithelial edema, fluorescein staining conjunctiva and corneal diffuse punctate coloring, KP (-), Room water clear, iris, crystal and fundus were no obvious abnormalities, left eye was significantly abnormal, right eye conspiracy Cobras spray, immediately in 1%