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切开复位术后爆裂性骨折并发球后血肿

Retrobulbar hematoma in blow-out fracture after open reduction.

作者信息

Cheon Ji Seon, Seo Bin Na, Yang Jeong Yeol, Son Kyung Min

机构信息

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.

出版信息

Arch Plast Surg. 2013 Jul;40(4):445-9. doi: 10.5999/aps.2013.40.4.445. Epub 2013 Jul 17.

DOI:10.5999/aps.2013.40.4.445
PMID:23898445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3724009/
Abstract

Retrobulbar hemorrhage, especially when associated with visual loss, is a rare but significant complication after facial bone reconstruction. In this article, two cases of retrobulbar hematoma after surgical repair of blow-out fracture are reported. In one patient, permanent loss of vision was involved, but with the other patient, we were able to prevent this by performing immediate decompression after definite diagnosis. We present our clinical experience with regard to the treatment process and method for prevention of retrobulbar hematoma using a scalp vein set tube and a negative pressure drainage system.

摘要

球后出血，尤其是伴有视力丧失时，是面部骨重建术后一种罕见但严重的并发症。本文报告了两例爆裂性骨折手术修复后发生球后血肿的病例。其中一例患者出现了永久性视力丧失，但另一例患者，我们在明确诊断后立即进行减压，从而避免了这种情况的发生。我们介绍了使用头皮静脉置管和负压引流系统预防球后血肿的治疗过程及方法的临床经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/d5327b7209f8/aps-40-445-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/bf820573ce21/aps-40-445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/4a763f25e282/aps-40-445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/89ac5c0dc32e/aps-40-445-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/41dd4dcaec7d/aps-40-445-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/9c39ca6f403c/aps-40-445-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/d5327b7209f8/aps-40-445-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/bf820573ce21/aps-40-445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/4a763f25e282/aps-40-445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/89ac5c0dc32e/aps-40-445-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/41dd4dcaec7d/aps-40-445-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/9c39ca6f403c/aps-40-445-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd13/3724009/d5327b7209f8/aps-40-445-g006.jpg

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本文引用的文献

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Idea on prevention from postoperative intraorbital hematoma in orbital surgery.眼眶手术中预防术后眶内血肿的思路
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):323-5. doi: 10.1007/s12070-011-0449-6. Epub 2012 Jan 5.
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Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture.下睑眶底爆裂骨折修复术后低温所致迟发性球后血肿
Arch Craniofac Surg. 2021 Apr;22(2):110-114. doi: 10.7181/acfs.2021.00052. Epub 2021 Apr 20.
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Retrobulbar hematoma following the repair of an orbital wall fracture: a case series.眶壁骨折修复术后球后血肿：病例系列
Maxillofac Plast Reconstr Surg. 2021 Feb 24;43(1):8. doi: 10.1186/s40902-021-00289-4.
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