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患者张××女57岁住院号183851989年12月1日因感冒发热,头痛、鼻流黄涕,有臭味,右眼红肿,不能睁眼,剧痛。于12月6日就诊于眼科,诊断为右眼眶蜂窝织炎收入院。体温39℃。脉搏86次/分,血压90/60mmHg。神志清,心肺无改变。白细胞20400mm~3。右眼睑及眶周高度红肿,眼球突出,球结膜充血、水肿,突出于睑裂之外。眼球运动受限。内眼看不清。静脉点滴白霉素和维生素C,肌注青霉素,口服磺胺,用2%麻黄素点鼻。入院第2天,眶外侧可触及波动感。在局麻下行眶外侧
Zhang × × female 57-year-old hospitalization No. 183851989 December 1 due to cold and fever, headache, nasal flow of yellow tears, odor, right eye swelling, can not open your eyes, severe pain. Visited December ophthalmology on December 6 and was diagnosed with right orbital cellulitis. Body temperature 39 ℃. Pulse 86 beats / min, blood pressure 90 / 60mmHg. Conscious, cardiopulmonary no change. White blood cells 20400mm ~ 3. Right eyelid and periorbital height of inflamed, prominent eyes, conjunctival hyperemia, edema, prominent in the blepharophimosis. Eye movement is limited. Eye can not see clearly. Intravenous drip white and vitamin C, intramuscular penicillin, oral sulfa, with 2% ephedrine point nose. The first 2 days of admission, orbital lateral touches the flu. Under local anesthesia orbital lateral