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患者,男,24岁。1979年12月1日用电锯锯木时,被飞木击中左眼及内眦部,当即自己拔除。到当地医院急诊,从眶内又取出朽木4块,并行左眼球摘除术。6天后出现高热、头痛、呕吐、神志恍惚、左眼伤口及式鼻流脓。12月12日转我眼科住院治疗。检查:左眶内有大量脓性分泌物,下穹窿部有一创口溢脓。取出一块约3.5×0.3×0.3cm~3褐色朽木,但仍持续高热、头痛、呕吐、嗜睡,并出现轻度颈强直、右眼瞳孔缩小、右侧中枢性面瘫及右侧上、下肢轻瘫;白细胞32800/mm~3。转外科治疗。脑血管造影示颈内
Patient, male, 24 years old. December 1, 1979 with sawing saw, the fly was hit the left eye and the Ministry of internal organs, immediately remove themselves. To the local hospital emergency, and from the orbital removal of dead wood 4, parallel left eye enucleation. 6 days after the high fever, headache, vomiting, trance, left eye wounds and nasal discharge pus. December 12 I ophthalmic hospitalization. Check: a large number of left orbital purulent secretions, the lower fornix has a wound overflow pus. Remove a piece of about 3.5 × 0.3 × 0.3cm ~ 3 brown turf, but still sustained high fever, headache, vomiting, drowsiness, and mild neck stiffness, right eye pupil shrinking, right facial paralysis and right upper and lower limb paresis ; White blood cells 32800 / mm ~ 3. Turn surgical treatment. Cerebral angiography showed the neck