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患儿男,3岁,在家中玩耍时左眼及面部被狗咬伤2d来诊。伤后在当地经清洗伤口并缝合伤口,转来后即时给予狂犬疫苗注射并收住院。 检查:患儿发育正常,营养良好,神志清醒,语言问答正常,周身淋巴结不肿大,鼻部皮肤裂伤已缝合,但鼻背部有多处抓痕。眼部左眼上下睑肿胀,皮下瘀血,内外眦部皮肤均有裂伤(已缝合),球结膜充血水肿不能自行睁眼,经用开睑钩检查角巩膜未见裂伤,压迫眼睑伤口处有脓性分泌物溢出,故拆除缝线,清洁伤口,经6d伤口愈合,给予
Pediatric boy, 3 years old, left eye and face bites 2d for a visit while playing at home. After the injury in the local cleaning the wound and suture the wound, transferred immediately after the rabies vaccine injection and admitted to hospital. Check: Children with normal development, good nutrition, conscious, normal language quiz, whole body lymph nodes is not swollen, nasal skin laceration has been sutured, but there are multiple scratches on the back of the nose. Ocular left upper left and right lower eyelid swelling, subcutaneous bleeding, both inside and outside the Ministry of skin laceration (sutured), conjunctival congestion and edema can not open their eyes, the use of open double hook examination sclera no laceration, oppression eyelid wound There purulent discharge overflow, so remove the suture, clean the wound, after 6d wound healing, given