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吕××,男,23岁,工人.1993年11月28日工作中被机器带动之木棒击伤右眼颞侧,即感剧痛,视力丧失,流血不止.急送我院.检查:右眼无光感,眼睑及结膜充血水肿,全眼球脱出,角膜欠透明,前房深浅正常,瞳孔散大,直接间接光反射消失.颞侧皮肤大片撕裂伤,眶外侧壁粉碎性骨折(图1).入院后急诊手术,术中用庆大霉素溶液冲洗,清除碎骨片,见颞侧伤口深达球后,有大量淤血块.用吸引器吸出瘀血,观察到视神经断裂.眼球强行复位,眼睑作暂时性缝合.眶外侧壁碎骨复位,用4-0羊肠线缝合破碎骨膜,球后放置橡皮引流条,缝合皮下及皮肤.术后大量抗生素及皮质类固醇治疗.2周后做CT证实视神经断裂及眶外
Lv × ×, male, 23 years old, worker. On November 28, 1993, the work was driven by a wooden stick to damage the right eye temporal side, namely, a sharp pain, loss of vision, bleeding more than urgently sent to our hospital. Eyelid and conjunctival hyperemia edema, the whole eye prolapse, the cornea is less transparent, the anterior chamber shades normal, mydriasis, direct indirect light reflection disappeared .Temporal skin laceration, orbital wall comminuted fracture (Figure 1) After admission, emergency surgery, surgery with gentamicin solution rinse, remove bone fragments, see the deep temporal hemispheric wound, there are a large number of congestion block suction sucked bleeding, the optic nerve rupture observed. Forced reduction, eyelid for temporary suture.Orbital wall broken bone reset, with 4-0 catgut suture broken the periosteum, the ball placed rubber drainage strips, sutured the skin and subcutaneous .After a lot of antibiotics and corticosteroids .2 weeks CT confirmed after the optic nerve rupture and orbital