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患者,男,42岁,一年前因车祸,右面部及内眦部皮肤被车窗玻璃划伤,经急诊清创缝合,伤口愈合后两周,右眼出现溢泪,溢脓,反复发作一年之久,于1991年6月23日来院门诊,以慢性泪囊炎入院手术治疗。检查:双眼视力1.5,右眼内眦部有一长约3cm疤痕向外下方面部延伸,指压内眦部有轻微疼痛,并见上下泪点有淡黄色脓液溢出。泪道冲洗,上泪点有淡黄色脓液及水液溢出,水流未能进入鼻腔。眼部未见其它异常。在局麻下行右泪囊鼻腔吻合术。术中见泪囊壁与周围组织有少许粘连,
Patient, male, 42 years old, a year ago due to a car accident, the right facial and inner canthus skin was scratched by the window glass, the emergency debridement and suture, two weeks after the wound healing, the right eye there overflow of tears, overflow pus, recurrent A year long, on June 23, 1991 came to the hospital for treatment of chronic dacryocystitis admission. Check: binocular visual acuity 1.5, the right eye Department of internal scull has a 3cm long scar extending outward facial, acupressure Department of Ministry of slight pain, and see the upper and lower tear point pale yellow pus overflow. Lacrimal wash, tears on the yellow pus and water overflow, the water failed to enter the nasal cavity. No other eye abnormalities. Under local anesthesia right dacryocystorhinostomy. Surgery, see the tear wall and surrounding tissue with a little adhesions,