Reeves Donny L, Lucarelli Mark J, Rose John G
Oculoplastics Service, Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, Wisconsin 53792-3220, USA.
Ophthalmic Plast Reconstr Surg. 2005 Nov;21(6):465-7. doi: 10.1097/01.iop.0000187909.37677.50.
A 19-year-old man sustained a blowout fracture to the left orbital floor. Subcutaneous emphysema developed after a protracted sneezing episode. Some signs of respiratory distress ensued, and the patient was emergently intubated. He underwent surgical repair of the fracture and then had further extension of the subcutaneous emphysema. The left nasal cavity was packed and the emphysema slowly resolved. Clinically significant subcutaneous emphysema is an uncommon complication of orbital blowout fracture. Informing the patient to avoid excessive nose-blowing and to avoid occluding the nose while sneezing may prevent this complication.
一名19岁男性遭受左眼眶底爆裂性骨折。在一次长时间打喷嚏发作后出现皮下气肿。随后出现一些呼吸窘迫的迹象，患者紧急接受了插管。他接受了骨折的手术修复，之后皮下气肿进一步扩展。左侧鼻腔被填塞，气肿逐渐消退。具有临床意义的皮下气肿是眼眶爆裂性骨折的一种罕见并发症。告知患者避免过度擤鼻以及打喷嚏时避免捏住鼻子，可能会预防这种并发症。
