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一名9岁男孩因大脑中动脉栓塞导致单眼失明。

BB embolus causing monocular blindness in a 9-year-old boy.

作者信息

Pacio Christina I, Murphy Marjorie A

机构信息

Department of Ophthalmology, Brown University and Rhode Island Hospital, Providence, Rhode Island 02903, USA.

出版信息

Am J Ophthalmol. 2002 Nov;134(5):776-8. doi: 10.1016/s0002-9394(02)01653-7.

DOI:10.1016/s0002-9394(02)01653-7
PMID:12429263
Abstract

PURPOSE

To report a case of monocular blindness resulting from intravascular bullet migration.

DESIGN

Observational case report.

METHODS

A 9-year-old boy presented to the emergency room with a penetrating BB gun injury to the chest.

RESULTS

Carotid angiography localized the bullet to the right internal carotid artery. He subsequently suffered blindness in the right eye, a right pupil-involving third nerve palsy, left hemiparesis, and a probable left homonymous hemianopia.

CONCLUSION

BB gun injuries may result in devastating ophthalmologic as well as systemic consequences due to bullet embolization.

摘要

目的

报告一例因血管内子弹迁移导致单眼失明的病例。

设计

观察性病例报告。

方法

一名9岁男孩因胸部被气枪穿透伤就诊于急诊室。

结果

颈动脉血管造影显示子弹位于右侧颈内动脉。随后,他出现右眼失明、右侧动眼神经麻痹伴瞳孔受累、左侧偏瘫以及可能的左侧同向性偏盲。

结论

气枪伤可能因子弹栓塞导致严重的眼科及全身后果。

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