1 case of ocular foreign bodies in children with facial care.docVIP

 PAGE \* MERGEFORMAT 6 1 case of ocular foreign bodies in children with facial care A case report Children, female, 5 years old, due to the metal umbrella inadvertently playing into the mouth of facial bone spurs, then spit out a lot of blood in the mouth, facial injuries due to foreign bodies with the skin penetrating metallic foreign body in 4 hours, in at 2:00 p.m. on April 5th, 2010 into our hospital. admission examination: body temperature 36.6 , pulse 112 beats / min, breathing 24 times / min, blood pressure 90/50mmHg, weight 13.5kg, metal umbrella mucosa from the maxillary vestibular sulcus at the equivalent of 2 apical teeth, into the left face, a little blood. laboratory: maxillary CT and X films were prompted “a metallic foreign body in the left facial skin, the top level inferior orbital rim and a barb.” emergency surgery immediately to prepare, perform a clinical forbidden to drink fast and Emergency routine blood tests required, while giving the intramuscular injection of tetanus antitoxin 1500u. at 15:30 by your doctor preoperative intramuscular injection stability 3mg, atropine into the operating room after 0.25g, oral anesthesia of the facial foreign body removal plus debridement surgery, in the back wards the end of surgery 17:40, blood pressure 90/45mmHg. after anti-infection, bleeding and other symptomatic treatment, after 6 days hospitalized were discharged. 2 Care 2.1 Preoperative Care 2.1.1 routine care by your doctor to do emergency surgery need blood tests and inspections related to the implementation of preoperative medical advice, surgery with a doctor as soon as possible. 2.1.2 The psychological care of children with trauma is as unexpected events, coupled with severe pain in children, facial and special parts of the body, seriously affect the appearance, unexpected moments that shape the daily lives of children change after injury to children and parents a great deal of thought and psychological burden of st