患者 ,男 1 9岁。因被带有金属头的箭杆误伤右眼 5h,两鼻出血约 1 0 0 ml,于 1 999年 3月 2 7日急诊入院。检查 :痛苦面容 ,神志清 ,右眼上下睑肿胀 ,右下睑外侧见长约 1 0 mm的圆木断箭杆斜向后内下插入眶内 ,眼球被挤向上前外方。视力光感 ,球结膜角膜水肿 ,右侧瞳孔 D=3 .5m Patient, male, 19 years old. The accidental injury of the right eye for 5h by the arrowhead with the metal head resulted in about 100 ml of bleeding on both sides of the nose. The patient was admitted to the emergency department on March 27, 1999. Check: painful face, conscious mind, the right eye upper and lower lid swelling, the right lower eyelid outside the see about 10 mm of the round broken bar inserted obliquely into the orbit, the eye is squeezed to the front of the outside. Visual acuity, conjunctival corneal edema, right pupil D = 3.5m