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患者胡某,女,11岁;因左眼不慎被旧船底锈铁钉剌伤、感伤眼疼痛,视物不见,于伤7 h 许来我科急诊。检查:左眼有光感,球结膜充血、角膜10~4点钟位一斜形裂口,虹膜嵌顿于角膜裂口、前房充满血液及凝血块,虹膜及眼后节段无法窥视。摄眼眶正侧位片示:左眼眶结构完整,未见有异物和骨折。处理:急诊入院手术(角膜修补术+虹膜嵌顿切除术),术毕球结膜下注射庆大2万 u+地塞米松2.5
Patients Humou, female, 11 years old; because the left eye was accidentally stolen by the old boat rust nail, searing eye pain, depending on the material missing, in the injury 7 h Xu Department emergency. Check: the left eye with a sense of light, conjunctival hyperemia, corneal 10 to 4 o’clock position oblique incision iris incarcerated in the corneal riparian anterior chamber filled with blood and clot, the iris and the posterior segment of the eye can not peep. Filming the lateral orbital film showed: left orbital structure is complete, no foreign body and fracture. Treatment: emergency admission surgery (corneal repair + iris incarcerated), surgery subconjunctival injection of large 20000 + dexamethasone 2.5