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近年来,我院行眼球内金属异物延期摘出术9例,效果满意,现报告如下。 1 临床资料 9例中,男6例.女3例。年龄26—42岁。其中右眼5例,左眼4例。主诉均为眼球红痛、流泪及视物模糊。受伤至就诊时间最长者达20天。诊断主要依靠外伤病史及X线拍片。异物位于前房5例,虹膜4例;6例是铁屑,3例是铝;最大者约0.8×0.5×0.3cm大小。术后伤眼视力均有不同程度的恢复。 2 讨论 本组9例病人眼球受伤后均因只重视表面伤口的处理。而使眼球内异物延期诊断。作者认为凡眼球及其周围有穿通伤病史者,常规X线拍片是必需的。
In recent years, our hospital line of eye metal foreign body delayed extraction surgery in 9 cases, the results are satisfactory, are as follows. A clinical data of 9 cases, 6 males and 3 females. Age 26-42 years old. There were 5 cases in the right eye and 4 cases in the left eye. The main complaints are red eye pain, tears and blurred vision. Injuries to the treatment of up to 20 days. The diagnosis mainly depends on the history of trauma and X-ray film. Foreign body located in anterior chamber in 5 cases, iris in 4 cases; 6 cases of iron filings, 3 cases of aluminum; the largest of about 0.8 × 0.5 × 0.3cm size. Postoperative visual acuity had varying degrees of recovery. 2 Discussion This group of 9 patients after eye injury due to only pay attention to the treatment of surface wounds. And delay the diagnosis of foreign body in the eye. The author believes that where the eye and the surrounding wear injuries history, conventional X-ray film is required.