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患者,女,21岁,外院行双鼻息肉摘除术并左上颌窦根治术,筛窦开放术致左眼失明7小时经急诊转入我院。缘患者于外院行表麻下双鼻息肉摘除术、局麻下行左上颌窦根治术并窦内开筛术,手术历时1小时30分钟,术后即发现左眼黑矇。经对症处理无效而转我院。检查:神清,全身情况好,发育及营养正常,体检合作。右前鼻孔填塞凡士林纱三片,取尽后见中鼻甲部分切除,筛窦部分开放,前筛息肉残余。左鼻腔陈旧性血块,量约5ml,中甲及前筛部分切除并见息肉样组织,后筛已切除。鼻腔外侧壁骨质缺损约2.5cm×3cm,筛骨纸板及眶壁骨膜破坏,经此骨窗可窥见眶周脂肪样物,距前鼻孔7.5cm相当于球后方向取出一棉片约4×1cm,该处组织易出血,3%Ephedrine收敛后血止。左眼周青肿,上睑下垂,平视时上睑缘平角角下缘,视力为0,
Patients, female, 21 years old, outside the hospital line of nasal polyps removal and left maxillary sinus radical surgery, ethmoid sinus open left blindness caused by 7 hours by emergency transferred to our hospital. Patients at the edge of the outer edge of the table under the numbness of nasal polyps removal surgery, local anesthesia and left sinus surgery radical sinus surgery, lasted 1 hour and 30 minutes after surgery that left eye darkness. The symptomatic treatment invalid and transferred to our hospital. Check: God clear, the general condition is good, normal development and nutrition, physical examination cooperation. Right front nostril stuffed Vaseline yarn three, after the end of the turbinate see partial excision, part of ethmoid sinus open, the former screen polyp residue. Left nasal obsolete clot, the amount of about 5ml, part of the former and part of the screen removed and polypoid tissue, after the screen has been removed. Nasal lateral wall of the bone defect about 2.5cm × 3cm, ethmoid cardboard and orbital periosteum damage, through this bone window can be seen periorbital fat samples from the front of the nostril 7.5cm equivalent to the ball after the direction of a cotton out about 4 × 1cm , Where hemorrhagic tissue organization, 3% Ephedrine convergence of blood only. Left eye weeks bruising, ptosis, flat bottom edge of the lower edge of the lower edge of the angle, vision was 0,