摘要
目的报道眶内异物继发眶尖综合征1例,并通过文献复习分析总结我国此类型患者的临床特点。方法 1例43岁男性患者,因眼部外伤导致眶内异物来本院就诊,确诊为眶内异物继发眶尖综合征,并予急诊行手术取出异物、眼眶减压,术后予止血、降眶压及激素治疗。结果国内报道中眶尖综合征共17例(含本例),其中男15例,女2例。其中8例为感染所致(3例为真菌,4例为病毒,1例不明原因),2例为肿瘤所致,5例为外伤(含异物)所致,其余2例为其他原因。治疗后,6例好转和治愈,3例因其他合并症死亡,其他症状好转不明显。结论眶尖综合征影响患者视力、眼球运动,并引起患者局部感觉障碍,预后不佳,尽早的处理可显著改善患者预后。
Objective To report one case of orbital apex syndrome secondary to intraorbital foreign body, and to analyze and summarize the clinical characteristics of this type of patients through literature review. Methods A 43 year old male patient with intraorbital foreign body was admitted to our hospital due to ocular trauma. After diagnosis, the orbital foreign body was secondary to orbital apex syndrome. Emergency surgery was performed to remove the foreign body, orbital decompression, and postoperative hemostasis, orbital pressure reduction and hormone therapy were given.Results 17 cases of orbital apex syndrome(including this case) were reported in China, including 15 males and 2 females. Among them, 8 cases were caused by infection(3 cases were caused by fungi, 4 cases were caused by virus, 1 case was unknown), 2 cases were caused by tumor, 5 cases were caused by trauma(including foreign body), and the other 2 cases were caused by other reasons. After treatment, 6 cases improved and cured, 3 cases died of other complications, and the other symptoms did not improve significantly. Conclusion Orbital apex syndrome affects visual acuity and eye movement, and causes local sensory disturbance in patients with poor prognosis. Early treatment can significantly improve the prognosis of patients.
作者
李柳
王永波
钱筱英
LI Liu;WANG Yongbo;QIAN Xiaoying(Department of Ophthalmology,the First Hospital of Nanchang(The Eye Hospital of Nanchang,Zhongshan Opthalmic Center,Sun Yat-Sen University),Nanchang,Jiangxi,330008,China)
出处
《当代医学》
2022年第3期108-111,共4页
Contemporary Medicine
关键词
眶内异物
外伤
眶尖综合征
Orbital foreign body
Trauma
Orbital apex syndrome
