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患者,男性,农民,38岁。住院号24575。8天前在处理一病死牛体时,牛骨碎片溅伤左眼外眦部,伤后第3天,受伤处肿胀发痒伴发热头痛,在当地医院经抗炎补液治疗无效而转我院,途中抽搐1次约2分钟左右。门诊以面部感染败血症收住外科。 体温39.5℃,脉搏98次,呼吸22次,血压110/60。神清,高热面容。全身浅表淋巴结不肿大。面部剧度肿胀,左侧更甚,眼裂呈缝状睁不开,球结膜充血,左外眦部见约0.7×1.0cm溃疡面,中央坏死稍凹陷,复有黑痂,溃疡周围有黄色米粒大的小水疱,触痛轻微。余无异常发现。WBC 11800/mm~3,N78％,L22％。
Patient, male, farmer, 38 years old. Hospital 24575.8 days ago in the treatment of a dead cow body, bones splashed the left outer part of the bovine, the first 3 days after injury, swelling and itching with fever headache in the local hospital by anti-inflammatory rehydration therapy is invalid And transferred to our hospital, convulsions on the way about 1 minute about 2 minutes. Outpatient reception with facial sepsis surgery. Body temperature 39.5 ℃, pulse 98 times, breathing 22 times, blood pressure 110/60. God clear, hot face. Systemic superficial lymph nodes are not enlarged. Facial drastic swelling, the left even worse, eye crack was stitched open, bulbar conjunctival hyperemia left ulna see about 0.7 × 1.0cm ulcer surface, the central necrosis slightly depressed, complex with black scab, ulcers around the yellow Small grains of small blisters, tenderness. I found no abnormalities. WBC 11800 / mm ~ 3, N78%, L22%.