震驚，＂二踢腳＂爆竹竟有如此大的威力，患者傷及右側眉弓額部致皮膚損傷，局部眶顱骨凹陷骨折，局部腦組織出血水腫。所幸，若受傷部位稍下一公分，定將會眼球爆裂。
","audio_del":0,"source_platform":"local","ext":{"unique_id":"d5a2fff26e3a0cb44c4b59bc8e058513"}},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/33338246defa410399c2797fdb8f1506soi__jpeg.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageBrightness":15,"imageContrast":15,"imageSaturability":15,"unique_id":"0760ba322049e4e4a51147370b0c5637"},"text":"患者楊某，男，53歲?；颊哂谌朐?小時前“被爆竹炸傷右側額部”，傷后感右眼視物模糊、頭痛、頭暈、惡心、嘔吐，嘔吐物為胃內容物，無昏迷，急前往當地醫院就診，行頭顱CT檢查提示顱內出血，傷口清創縫合后建議我院治療，我院急診科行頭顱CT檢查：眼眶壁骨折、顱底骨折、額骨骨折、顱骨塌陷，急診以“右眼眶骨骨折”收入院。
雙眼視力4. 8,雙眼眼壓Tn,右眼瞼淤血水腫，睜眼困難，右眼結膜充血，角膜透明，前房中深，房水清亮，瞳孔正大等圓，對光反射靈敏，晶狀體透明，眼底檢查無法配合，左眼前節及眼底檢查未見異常；雙眼位正，右眼上轉、外轉輕度受限，其他方向轉動不受限；右側眶上神經走行區皮膚淺感覺減退：眼球突出度檢查無法配合。額部可見約1.5cm大小圓形傷口已縫合，局部凹陷畸形，壓痛明顯。
","img_height":1500,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4LzMzMzM4MjQ2ZGVmYTQxMDM5OWMyNzk3ZmRiOGYxNTA2c29pX19qcGVnLmhlaWM=/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/c53d65a132ca4df69d11c406b8ad93f8soi__jpeg.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageContrast":5,"imageSaturability":15,"imageBrightness":15,"unique_id":"c7c9c0fa582052e902dd2249e00d29a1"},"text":"急診科行頭顱CT檢查：眼眶壁骨折、顱底骨折、額骨骨折、顱骨塌陷、大腦挫裂傷、蛛網膜下腔出血、硬膜外血腫。
","img_height":1500,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4L2M1M2Q2NWExMzJjYTRkZjY5ZDExYzQwNmI4YWQ5M2Y4c29pX19qcGVnLmhlaWM=/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"location_del":0,"video_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"type":1,"splicing_template_id":0,"text":"入院完善相關檢查，無明顯手術禁忌于2025-04-07全麻下聯合神經科行顱骨凹陷性骨折切開復位內固定術＋眼眶壁重建術，術中采用額部原傷口兩個側延長刀切口，分離暴露骨折，移除骨折辨，清理粹骨片，處理硬腦膜，未見硬腦膜破裂，復位并固定骨瓣，采用可吸收材料修復缺損眶壁并成形眶腔，關閉傷口。術后給予預防感染、消腫、止血、營養神經、預防腦血管痙攣、癲癇等對癥治療。
","audio_del":0,"source_platform":"local","ext":{"unique_id":"a31044f1659de23a4703029f237304b3"}},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/930a7575ec984623a782786e80fa789fsoi__jpeg.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageSaturability":15,"imageBrightness":15,"imageContrast":10,"unique_id":"6b4875c708c65a3a8d2ce03a2524be8d"},"text":"術后復查CT：無新發顱內出血及水腫．凹陷顱骨骨折復位良好，眶顱溝通封閉，眶腔成形好，眶內無其他異常。
","img_height":1500,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4LzkzMGE3NTc1ZWM5ODQ2MjNhNzgyNzg2ZTgwZmE3ODlmc29pX19qcGVnLmhlaWM=/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/98a0ffcfa36b4204af01d2a92b097dd8soi__png.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageSaturability":15,"imageBrightness":15,"imageContrast":10,"unique_id":"c6f04abf49d054481e06ae6360d3b5be"},"text":"患者術后一周出院，患者訴視物重影，查體：雙眼視力4. 8,雙眼眼壓Tn,右眼瞼淤血水腫減輕，上瞼抬舉無遮蓋瞳孔，右眼結膜充血減輕，角膜透明，前房中深，房水清亮，瞳孔正大等圓，對光反射靈敏，晶狀體透明，眼底檢查見玻璃體積血吸收，左眼前節及眼底檢查未見異常；雙眼位正，右眼上轉、外轉輕度受限，其他方向轉動不受限；右側眶上神經走行區皮膚淺感覺減退；眼球突出度檢查無法配合。額部無凹陷畸形，壓痛明顯，額部皮膚平整，縫線已拆除，復查頭顱CT提示積血已吸收。
","img_height":1126,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4Lzk4YTBmZmNmYTM2YjQyMDRhZjAxZDJhOTJiMDk3ZGQ4c29pX19wbmcuaGVpYw==/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"location_del":0,"video_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"type":1,"splicing_template_id":0,"text":"本裂患者為＂二踢腳＂爆竹致眶顱骨骨折，骨折片凹陷刺向腦組織，經眼科與腦外科聯合手術，順利復位骨折，無顯現腦部后遺癥，眼位及眼動輕度異常待功能鍛練將在一月左右恢復正常。
溫馨提示：爆竹有危險，燃放需謹慎！
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","audio_del":0,"source_platform":"local","ext":{"unique_id":"d5a2fff26e3a0cb44c4b59bc8e058513"}},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/33338246defa410399c2797fdb8f1506soi__jpeg.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageBrightness":15,"imageContrast":15,"imageSaturability":15,"unique_id":"0760ba322049e4e4a51147370b0c5637"},"text":"患者楊某，男，53歲。患者于入院6小時前“被爆竹炸傷右側額部”，傷后感右眼視物模糊、頭痛、頭暈、惡心、嘔吐，嘔吐物為胃內容物，無昏迷，急前往當地醫院就診，行頭顱CT檢查提示顱內出血，傷口清創縫合后建議我院治療，我院急診科行頭顱CT檢查：眼眶壁骨折、顱底骨折、額骨骨折、顱骨塌陷，急診以“右眼眶骨骨折”收入院。
雙眼視力4. 8,雙眼眼壓Tn,右眼瞼淤血水腫，睜眼困難，右眼結膜充血，角膜透明，前房中深，房水清亮，瞳孔正大等圓，對光反射靈敏，晶狀體透明，眼底檢查無法配合，左眼前節及眼底檢查未見異常；雙眼位正，右眼上轉、外轉輕度受限，其他方向轉動不受限；右側眶上神經走行區皮膚淺感覺減退：眼球突出度檢查無法配合。額部可見約1.5cm大小圓形傷口已縫合，局部凹陷畸形，壓痛明顯。
","img_height":1500,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4LzMzMzM4MjQ2ZGVmYTQxMDM5OWMyNzk3ZmRiOGYxNTA2c29pX19qcGVnLmhlaWM=/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/c53d65a132ca4df69d11c406b8ad93f8soi__jpeg.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageContrast":5,"imageSaturability":15,"imageBrightness":15,"unique_id":"c7c9c0fa582052e902dd2249e00d29a1"},"text":"急診科行頭顱CT檢查：眼眶壁骨折、顱底骨折、額骨骨折、顱骨塌陷、大腦挫裂傷、蛛網膜下腔出血、硬膜外血腫。
","img_height":1500,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4L2M1M2Q2NWExMzJjYTRkZjY5ZDExYzQwNmI4YWQ5M2Y4c29pX19qcGVnLmhlaWM=/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"location_del":0,"video_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"type":1,"splicing_template_id":0,"text":"入院完善相關檢查，無明顯手術禁忌于2025-04-07全麻下聯合神經科行顱骨凹陷性骨折切開復位內固定術＋眼眶壁重建術，術中采用額部原傷口兩個側延長刀切口，分離暴露骨折，移除骨折辨，清理粹骨片，處理硬腦膜，未見硬腦膜破裂，復位并固定骨瓣，采用可吸收材料修復缺損眶壁并成形眶腔，關閉傷口。術后給予預防感染、消腫、止血、營養神經、預防腦血管痙攣、癲癇等對癥治療。
","audio_del":0,"source_platform":"local","ext":{"unique_id":"a31044f1659de23a4703029f237304b3"}},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/930a7575ec984623a782786e80fa789fsoi__jpeg.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageSaturability":15,"imageBrightness":15,"imageContrast":10,"unique_id":"6b4875c708c65a3a8d2ce03a2524be8d"},"text":"術后復查CT：無新發顱內出血及水腫．凹陷顱骨骨折復位良好，眶顱溝通封閉，眶腔成形好，眶內無其他異常。
","img_height":1500,"source_platform":"local","is_origin":true,"audio_del":0,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvMTEwMzU2MjY4LzkzMGE3NTc1ZWM5ODQ2MjNhNzgyNzg2ZTgwZmE3ODlmc29pX19qcGVnLmhlaWM=/nickname/55SY6IKD55yB5LqM6Zmi55y855y255eF5LiT56eR/userid/MTEwMzU2MjY4/sign/c3420fcdfc075054a930d44eb6663e3b"},{"video_del":0,"location_del":0,"vote_del":0,"img_del":0,"video_thumbnail_del":0,"sell_del":0,"source":0,"text_del":0,"img_url":"https://ss-mpvolc.meipian.me/users/110356268/98a0ffcfa36b4204af01d2a92b097dd8soi__png.heic","type":1,"splicing_template_id":0,"img_width":2000,"ext":{"imageSaturability":15,"imageBrightness":15,"imageContrast":10,"unique_id":"c6f04abf49d054481e06ae6360d3b5be"},"text":"患者術后一周出院，患者訴視物重影，查體：雙眼視力4. 8,雙眼眼壓Tn,右眼瞼淤血水腫減輕，上瞼抬舉無遮蓋瞳孔，右眼結膜充血減輕，角膜透明，前房中深，房水清亮，瞳孔正大等圓，對光反射靈敏，晶狀體透明，眼底檢查見玻璃體積血吸收，左眼前節及眼底檢查未見異常；雙眼位正，右眼上轉、外轉輕度受限，其他方向轉動不受限；右側眶上神經走行區皮膚淺感覺減退；眼球突出度檢查無法配合。額部無凹陷畸形，壓痛明顯，額部皮膚平整，縫線已拆除，復查頭顱CT提示積血已吸收。
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溫馨提示：爆竹有危險，燃放需謹慎！
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