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临床资料:本组7例中,土枪爆炸伤5例,鞭炮伤2例。患者年龄最大56岁,最小6岁;巩膜缺损最大约4mm×3mm,最小3.5mm×2mm;缺损区均为不规则形,受伤距手术时间最长76小时,最短1小时。 手术方法:小儿采用静脉麻醉,成人少量球后及结膜下浸润麻醉。①修补巩膜层:首先将不规整创口根据受伤情况分别修整为圆形、方形、长方形或梯形,以成为较规整的创口。脱出的睫状体用1:500庆大霉素冲洗后还纳,不能还纳的内容物可剪除。在缺损区的一侧选择供瓣区,设计好面积后,将缺损区创缘暂行间断或连续缝合,以避免内容物再次脱出,同时也有利于切取半层巩
Clinical data: In this group of 7 cases, 5 cases of gun fire explosion, firecrackers in 2 cases. The oldest patient was 56 years old and the youngest was 6 years old. The scleral defect was about 4mm × 3mm and the smallest was 3.5mm × 2mm. The defect area was irregular and the injury time was up to 76 hours and the shortest one hour. Surgical methods: pediatric intravenous anesthesia, adult small ball and subconjunctival infiltration anesthesia. ① repair sclera: First irregular wounds were trimmed according to the injury were round, square, rectangular or trapezoidal to become a more regular wound. Ciliary body prolapse with 1: 500 after gentamicin also satisfied, can not be satisfied that the content can be cut off. Select one side of the defect area for the valve area, after the design of the area, the defect area will be intermittent or continuous wound edge, in order to avoid the content again prolapse, but also conducive to cut the half