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1 病例介绍例1,女患,19岁。被拳击伤左颜面部,于1996年5月8日人院。该患左眼下睑皮下瘀血、肿胀,下睑有一被戒指所致横行的约2.0cm的挫裂伤口,左眼复视。其他检查未见异常。X线示左眶下壁骨折,轻度塌陷,鼻骨线性骨折,对位、对线良好。在局麻下清洗创口,并取该创口将嵌顿软组织松解,并使塌陷部位隆起、复位、创口清创缝合,1周后拆线,无感染。1月后X线示骨折线模糊,骨痂形成,复视消失,痊愈出院。例2,男患,46岁。因摩托车肇事致伤左颜面部,于1996年9月10日来诊入院。检查可见左眼睑青紫,下睑皮下捻发音,下眶部轻度压痛。X线:鼻颏位片示左颧弓、上颌窦前壁骨折,上颌窦腔混浊,眶下壁骨折。眼眶CT示:左眶下壁、左颧弓、上颌窦前壁骨折。入院后经全身抗炎、局部冷敷、
Case description 1 cases, female patients, 19 years old. Boxer injured left facial, on May 8, 1996 hospital. The affected left lower eyelid subcutaneous bleeding, swelling, lower eyelid has a ring caused by the rampage of about 2.0cm laceration wound, left eye diplopia. Other tests showed no abnormalities. X-ray showed left orbital wall fracture, mild collapse, nasal bone linear fracture, alignment, the line well. In the local anesthesia to clean the wound, and take the wound will incarcerated soft tissue release, and collapse of the site uplift, reset, wound debridement, stitches after 1 week, no infection. After January X-ray showed fracture line fuzzy, callus formation, diplopia disappeared, discharged. Example 2, male suffering, 46 years old. Injured motorcycle left facial due to accident, on September 10, 1996 came to hospital. Check the left eyelid bruising, lower eyelid subcutaneous pronation, the lower orbital mild tenderness. X-ray: nasal chin bit shows left zygomatic arch, maxillary anterior wall fracture, maxillary sinus opacity, orbital wall fracture. Orbital CT showed: left orbital wall, left zygomatic arch, maxillary anterior wall fracture. After admission systemic anti-inflammatory, local cold pack,