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我院于一九八四年始采用硅胶液行塌鼻矫正术400例,其中失败者有三例(占0.75％)。为总结经验,吸取教训、特报告如下: 例一,女性,21岁,1985年5月5日因鼻根部注射硅胶液后局部皮肤破溃而入院。患者一月前曾用硅胶液行鼻根加高术,术后第二天皮肤发红,局部不痛,全身不发热。曾内服红霉素,麦迪霉素及肌注抗菌素等。面部涂拭酒精,而局部不见好转,后出现皮肤溃烂,脱落,皮肤缺损。即往史有青霉素及庆大霉素过敏史。个人史及家族史均无特殊。(检查体温36.6℃)。全身检查未发现异常。专科所见:在鼻梁与鼻根交界处有—1×1cm~2大小之皮肤缺损区,周围皮肤微红,其基部显露淡黄硅胶,无触压痛。化验检查:白细胞总数为6000,中性76％。分析为鼻根部排异反应。治疗经过:1985
In our hospital, there were 400 cases of colporrhaphy using silicone fluid since 1984, of which three failed (0.75%). To summarize the experience, lessons learned, special report is as follows: Example 1, female, 21 years old, May 5, 1985 nasal root nasal injection of silicone solution after local skin ulceration and admission. A month ago, patients had silicone nasal root heightening operation, the second day after the skin redness, local pain, the body does not fever. Had oral administration of erythromycin, midecamycin and intramuscular antibiotics. Facial smear alcohol, while the local did not improve, after the skin ulceration, loss, skin defects. Past history of penicillin and gentamicin allergy history. Personal history and family history are no special. (Check body temperature 36.6 ℃). No abnormalities were found in the whole body examination. Specialist seen: in the bridge of the nose and nose there is a -1 × 1cm ~ 2 size of the skin defect area, the surrounding reddish skin, the base revealed yellowish silicone, no tenderness. Laboratory tests: the total number of leukocytes 6000, 76% of neutral. Analysis for the nasal rejection. After treatment: 1985