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例1,男性,14岁,右眼鞭炮伤,当地医院曾行角巩膜穿孔伤修补术。注射破伤风抗毒素(TAT)及庆大霉素等。术后4天发现伤口感染,第6天转本院住院。检查:右眼光感,眼睑轻度肿胀,眼球位正,运动自如。结膜混合充血,角膜下方有一4×7毫米灰白色溃烂面,残留缝线一根。前房浅,房水混浊,虹膜后粘,纹理不清。瞳孔径3毫米,瞳孔区有纤维素性渗出,眼内情况不明。第8天出现牙关紧闭,张口困难,苦笑面容。颈无抵抗,巴氏征右侧(±),其它病理征(-)。次日又出现双睑下垂,眼球向内、上、下转动障碍,双眼分离。外科检查,确诊:“破伤风”。经常规治疗,15天
Example 1, male, 14 years old, right eye firecrackers, local hospital scleral puncture wound repair surgery. Injection of tetanus antitoxin (TAT) and gentamicin. Wound infection was found 4 days after surgery and was transferred to our hospital on the 6th day. Check: Light sense of the right eye, mild eyelid swelling, eye position is positive, exercise freely. Conjunctival hyperemia, corneal below a 4 × 7 mm gray fester surface, leaving a suture. Anterior chamber shallow, aqueous turbid, sticky iris, texture unclear. Pupil diameter 3 mm, the pupil area of cellulose exudate, intraocular conditions unknown. On the 8th day, there was tightness of teeth, mouth opening difficulties, smile face. Neck non-resistance, right (+) of the Papanicolaou and other pathological signs (-). The next day there are double-eyelid ptosis, eyeball inward, upper and lower rotation disorders, eyes separated. Surgical examination, diagnosed: “tetanus.” Routine treatment, 15 days