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患者于某男23岁住院号86337左上睑肿胀半年,发现肿块4月余。戴角膜接触镜多年。1982年发现角膜接触镜“脱失”,一直未找到。此后,时感左眼不适。1982年底发现左眼睑肿胀,滴用眼药水无效。1983年初,左上睑肿块逐渐长大,曾误诊为霰粒肿,作切开手术。切口久不愈合,肿块扩大,来院治疗。检查:全身检查未发现异常。左上睑皮下可触及一1cm×1cm×0.4cm肿块,与周围组织不粘连,质软,眼球活动不受限。右眼未见改变。诊断:左眼睑包块(性质待查)。1983年4月25日在局麻下行包块探查。距上睑缘3mm作与睑缘平行切口,在睑板上缘偏颞侧摸到一肿块,分离眼轮匝肌,暴露肿块,分离时,肿
Patients in a male 23-year-old hospital number 86337 left upper eyelid swelling six months and found the mass more than 4 months. Wear contact lenses for many years. Contact lenses found in 1982, “lost”, has not been found. Since then, the left eye discomfort. The end of 1982 found that the left eyelid swelling, drops with eye drops ineffective. In early 1983, the left upper eyelid mass gradually grew up, had been misdiagnosed as chalazion for open surgery. Not long healing incision, mass expansion, to hospital treatment. Check: No abnormalities found in the whole body examination. Left upper eyelid can reach a subcutaneous 1cm × 1cm × 0.4cm mass, and the surrounding tissue is not adhesive, soft, eye movement is not limited. No change in the right eye. Diagnosis: left eyelid mass (nature to be investigated). April 25, 1983 under local anesthesia mass mass exploration. From the upper eyelid edge 3mm parallel incision with the eyelid, palpable on the upper edge of the tympanic temporal palpation of a mass, isolated orbicularis muscle, exposed mass, separation, swollen