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患者叶某,女,62岁,住院号58941,患者于1994年3月15日下午去邻居家时被迎面扑来的家犬爪抓伤右眼.当时眼痛、视物不清.在当地区医院给于一般外科处理,包扎未缝合,口服消炎药物,并肌注狂犬疫苗.治疗7天后症状无好转,故送来我院眼科.当时检查右眼光感,眼睑不规则裂伤已结痂,混合性充血,角膜混浊,内皮水肿,角膜缘9点方位可见巩膜裂口,虹膜脱出,前房积血,瞳孔呈C型,晶体混浊,玻璃体、眼底窥不见,眼压T_(-1),全身情况无特殊.对青链霉素过敏,入院后行急诊右眼巩膜创口清创,缝合术.见巩膜呈不规则三角形裂口,用庆大霉素注射液擦洗,剪去脱出虹膜,
Patient Yemou, female, aged 62, hospital number 58941, was scratched on the right eye by a dog clawed in his hand as he went to the neighbors on the afternoon of March 15, 1994. At that time, Regional hospital for general surgical treatment, bandaging not sutured, oral anti-inflammatory drugs, and intramuscular injection of rabies .7 days after treatment, the symptoms did not improve, it was sent to our hospital ophthalmology .At that time check the right eye light sense, eyelid irregular laceration scab , Mixed hyperemia, corneal opacity, endothelial edema, corneal rim can be seen at 9 o’clock scleral tear, iris prolapse, anterior chamber hemorrhage, pupil was C type, crystal opacity, vitreous, No specific systemic conditions. For the allergy to penicillin, after admission, emergency department of the right eye scleral debridement and suture .See the sclera was irregular triangular gap, with gentamicin injection scrub, cut off the iris,