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病员黄××,男,61岁,农民。住院号“82～453”。因左眼被牛角戳伤失明4小时于1982年,1月22日急诊入院。检查:左眼视力光感,眶上缘有一长约1.5厘米的皮肤裂伤。4～7点钟角膜缘外球结膜裂开4～5毫米,巩膜未破。10点半～12点半角膜缘外3毫米结膜巩膜破裂,并有玻璃体及晶体核嵌于创口。前房充满血液,虹膜及后部组织看不到。局麻下行创伤修补术,开睑后晶状体即滑出,清除脱出之玻璃体及晶囊膜,见有少量色素,未发现葡萄膜组织,前房血液亦即随之流出。经冲洗后详查创口,长约1.2cm,稍不整齐,外侧止端略向后偏,离角膜缘约5毫米。将巩膜创口对合全层缝合5针,并向眼球中心注入生理盐水1.8毫升,使皱缩塌陷之眼球恢复原形,前房内注入0.5毫升消毒空气,连续缝合球结膜,常规结膜下注射庆大霉素2万单位。术毕,角膜半透明,虹膜未见,眼底呈暗红色,视力手动。
Patient Huang × ×, male, 61 years old, farmer. Hospital number “82 ~ 453”. Due to the left eye was horrified by horns poached 4 hours in 1982, January 22 emergency admission. Check: light perception of the left eye, supraorbital margin of a length of about 1.5 cm of skin laceration. 4 to 7 o’clock limbus conjunctival fissure 4 to 5 mm, the sclera is not broken. 10:30 to 12 o’clock corneal margin 3 mm conjunctival sclera rupture, and vitreous and crystal nucleus embedded in the wound. Anterior chamber full of blood, iris and the rear of the organization can not see. Local anesthesia trauma repair, open the eyelid after the lens that is sliding out of the prolapse of the vitreous and crystal capsule, see a small amount of pigment, uveal tissue was not found, that is, anterior chamber of the blood outflow. After washing detailed examination of the wound, about 1.2cm, slightly irregular, slightly lateral to the posterior deviation, about 5 mm from the limbus. The scleral wound on the joint stitching 5 needles, and injected into the center of the eye normal saline 1.8 ml, so that collapsed collapse of the eye restored to its original shape, 0.5 ml sterile air injected into the anterior chamber, continuous suture of the conjunctiva, conventional subconjunctival injection celebration Million units of 20,000. Surgery completed, corneal translucent, iris was not seen, dark red eyes, eyesight manual.