自行使用刀片造成的穿透性眼球损伤：病例报告。
Self-inflicted penetrating eye injuries using a razor blade: case report.
机构信息
International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
出版信息
BMC Ophthalmol. 2009 Dec 10;9:14. doi: 10.1186/1471-2415-9-14.
BACKGROUND
A 23 year old white male with a history of social and behavioural problems attempted to blind himself chemically, with alcohol, and mechanically, with a razor blade.
METHODS
Observational case report of a patient who self-inflicted bilateral scleral lacerations with a razor blade, after losing his job.
RESULTS
The patient sustained bilateral inferior scleral perforations, with hypotony and a right traumatic cataract. He received urgent surgical repair, and prophylactic antibiotics. There were no retinal breaks or detachments. He later underwent successful cataract surgery to the right eye.
CONCLUSION
Self-inflicted ocular injury may be possible in non-psychotic patients, as a situational response to a life event. Urgent repair can completely restore vision in some cases. Referral for psychiatric counseling is mandatory.
背景
一名 23 岁白人男性，有社会和行为问题病史，曾试图用酒精和刀片化学性地、机械性地弄瞎自己的眼睛。
方法
对一名因失业而用刀片造成双侧巩膜裂伤的患者进行观察性病例报告。
结果
患者双侧下巩膜穿孔，眼压降低，右眼外伤性白内障。他接受了紧急手术修复和预防性抗生素治疗。没有视网膜裂孔或脱离。后来他右眼成功地接受了白内障手术。
结论
非精神病患者在生活事件的情况下，可能会出现自我伤害性的眼部损伤。在某些情况下，紧急修复可以完全恢复视力。必须转介进行精神咨询。
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