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案例报告 李某,男,36岁.1993年6月12日被人用自制散弹枪击伤左眼,致左眼球,颅脑穿透伤,CT检查见大脑左额叶内有一0.4cm×0.3cm的金属异物.住院治疗40d后出院,出院时未发现其他不适症状,CT复查颅内未见出血.李某回家6个月后出现癫痫,开始癫痫发作次数较少,1995年底癫痫发作次数每周两次以上.1996年7月8日晚10时许,李某在床上躺着看电视时癫痫突然发作,持续约5min后抽搐停止(一直躺在床上,其妻在旁护理),但觉头痛严重.30min后,李某突然神志不清,继而昏迷,急送医院抢救,于7月9日凌晨2时死亡.尸检:体质尚可,全身体表无外伤.左眼角膜左下缘有0.5cm×0.4cm的疤痕,晶体混浊.剖检:左侧大脑半球硬脑膜下广泛性血肿,血液新鲜,以前额部为重,相应部位大脑表面有受压征象,大脑沟回平浅.大脑左额极有7cm×6cm×5cm的液化区,内有3cm×2cm的斑痕硬结组织,从中取出一粒0.4cm×0.3cm的类圆形金属砂粒.其它部位脏器未见异常.
Case report Lee, male, 36. June 12, 1993 was shot with self-made shots left eye injury, caused by left eyeballs, head trauma, CT examination showed a left frontal lobe of the brain with a 0.4cm × 0.3 cm of metal foreign body hospitalized 40d after discharge, discharge was found no other symptoms, CT review no intracranial hemorrhage.Li Mou home 6 months after the onset of epilepsy, fewer seizures, the number of epileptic seizures by the end of 1995 Twice a week or more. July 10, 1996 10 o’clock in the evening, Lee lying on the bed watching television when a sudden onset of epilepsy, convulsions lasted about 5min stop (has been lying in bed, his wife care), but 30 minutes later, Lee suddenly unconscious, and then coma, sent to the hospital for emergency treatment, died at 2 am on July 9. Autopsy: physical fitness can be, the body surface without injury left lower left cornea 0.5 cm × 0.4cm scar, crystal opacity. Autopsy: the left hemisphere of the left subdural hematoma, fresh blood to the forehead as the weight, the corresponding parts of the brain surface compression signs, The amount of very large 7cm × 6cm × 5cm liquefaction area, there are 3cm × 2cm scotch induration tissue, removed from a 0.4cm × 0.3cm class Shaped metal grit. Other parts of the organs were normal.