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张×,男,4岁,住院号74354.于1991年4月5日玩弄旧炊铲时不慎跌倒铲柄端刺入左眼眶内.当时左眼出血肿胀,眼球突出,呕吐1次,无昏迷.于伤后3小时来我院就治.检查:神志清楚,神经系统无明显阳性体征.左眼视力无光感,有一把旧式炊用铁铲挂于左睑颊部,其柄端由下眶缘内1/3处穿透下睑刺入眶内.无活动性出血或脑脊液流出,眼睑明显肿胀,皮下瘀血,上睑下垂.眼球被挤向颞上方,明显突出,固定.眼压Tn.球结膜高度水肿,角膜透明,知觉消失.瞳孔散大,
Zhang ×, male, 4 years old, hospital number 74354. On April 5, 1991 when playing old shovel shovel accidentally fell into the left orbit into the left orbit .At that time, hemorrhage left eye swelling, prominence, vomiting, no Coma. 3 hours after injury to our hospital on treatment. Check: Consciousness, the nervous system no significant positive signs left eye vision no light feeling, there is an old style of kitchen shovel hung on the left cheek, the handle end by Under the orbital margin 1/3 through the lower eyelid piercing the orbital. No active bleeding or cerebrospinal fluid effusion, eyelid swelling was obvious, subcutaneous bleeding, blepharopsia. Eye was squeezed to the superior temporal, prominent, fixed eye Pressure Tn. Bulbar conjunctiva highly edema, corneal transparency, perception disappear mydriasis,