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患者男,4岁,住院号299009,1年前,左眼被木锭子刺伤.当时左上睑内侧皮肤有“豆粒”大小的破口,皮肤轻度红肿,在当地医院全身用抗生素治疗红肿消退.近4月来左眼眶部皮肤隆起,抗生素治疗无效.1986年5月13日来我院就诊.眼部检查:右眼正常.左上睑内侧皮肤有条状伤痕,外上方眶缘粗糙凸起,可触及2×1cm大小的扁平肿块,不活动,质较韧与皮肤粘连,无压痛,眼球上转受限.X线眶平片:左眼眶上部内外2侧各见一密度不均的卵圆形阴影,未见异物阴影.A、B型超声扫描:左眼眶颞上方球后见一弱回声区,边界不清,其内有一梭形强回声光斑,A型超声显示为高复波反射,降低增益后该光斑仍存在.超声诊断:眶内异物.
Patient male, 4 years old, hospitalization number 299009, a year ago, the left eye was stabbed with a wooden spindlet when there was a break of “bean size” inside the upper left eyelid, mild swelling of the skin, systemic swelling with antibiotics in the local hospital . In the past 4 months orbital skin uplift, antibiotic treatment ineffective .1986 to our hospital on May 13, 1986. Eye examination: the right eye is normal. Left upper eyelid strip of skin lesions, the outer edge of the orbital rim rough bulge , Can reach the size of 2 × 1cm flat lumps, not activity, the quality of more tough adhesion with the skin, no tenderness, the upper limit of the eye turn X-ray orbital film: the upper left and right orbital inside and outside the 2 sides of each see a density of eggs Circular shadows, no foreign body shadow.A, B-mode ultrasound scan: the left orbital temporal superior see a weak echo, the border is unclear, which has a fusiform strong echo spot, A-type ultrasound showed high reflex reflex, decreased The spot is still present after gain ultrasound Diagnosis: orbital foreign body.