Sidman J D, Brownlee R E, Smith W C, Fry T L
Division of Otolaryngology, Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill 27599-7070.
Int J Pediatr Otorhinolaryngol. 1990 Jun;19(2):181-4. doi: 10.1016/0165-5876(90)90225-g.
Swelling and pain of the peri-orbital tissues in patients with sickle cell disease has been described. This has most often been ascribed to orbital apex syndrome, but there are recent reports in the literature of frontal bone infarctions compounding this syndrome. We will present a case report of a child with sickle cell disease with bilateral orbital abscesses and frontal bone infarctions. The literature pertaining to the diagnosis and treatment of the orbital complications of sickle cell disease is reviewed. We stress that intravenous antibiotics are not adequate therapy for orbital abscesses and that these must be drained surgically.
镰状细胞病患者眶周组织的肿胀和疼痛已有相关描述。这通常归因于眶尖综合征，但近期文献报道有额骨梗死加重了该综合征。我们将呈现一例患有镰状细胞病且伴有双侧眼眶脓肿和额骨梗死的儿童病例报告。对有关镰状细胞病眼眶并发症的诊断和治疗的文献进行了综述。我们强调静脉使用抗生素对眼眶脓肿治疗并不充分，必须进行手术引流。
