睑前及眶蜂窝织炎的管理
Management of preseptal and orbital cellulitis.
作者信息
Lee Seongmu, Yen Michael T
机构信息
Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA.
出版信息
Saudi J Ophthalmol. 2011 Jan;25(1):21-9. doi: 10.1016/j.sjopt.2010.10.004. Epub 2010 Dec 10.
Abstract
Orbital cellulitis describes an infection involving the soft tissues posterior to the orbital septum, including the fat and muscle within the bony orbit. This condition may be associated with severe sight and life-threatening complications. Despite significant advances in antimicrobial therapies and diagnostic technologies, the management of orbital cellulitis often remains challenging, and rapid diagnosis and prompt initiation of therapy are important in minimizing complications and optimizing outcomes. This review summarizes the distinctive characteristics of preseptal and orbital cellulitis, with a focus on anatomic considerations, predisposing conditions, approaches to evaluation, and management strategies.
摘要
眶蜂窝织炎是指涉及眶隔后方软组织的感染，包括眶骨内的脂肪和肌肉。这种情况可能伴有严重视力问题和危及生命的并发症。尽管抗菌治疗和诊断技术取得了重大进展，但眶蜂窝织炎的治疗往往仍具有挑战性，快速诊断和及时开始治疗对于将并发症降至最低并优化治疗效果至关重要。本综述总结了睑前蜂窝织炎和眶蜂窝织炎的独特特征，重点关注解剖学因素、易感因素、评估方法和治疗策略。
相似文献
1
Management of preseptal and orbital cellulitis.睑前及眶蜂窝织炎的管理
Saudi J Ophthalmol. 2011 Jan;25(1):21-9. doi: 10.1016/j.sjopt.2010.10.004. Epub 2010 Dec 10.
2
Orbital cellulitis.眶蜂窝织炎。
Surv Ophthalmol. 2018 Jul-Aug;63(4):534-553. doi: 10.1016/j.survophthal.2017.12.001. Epub 2017 Dec 15.
3
Preseptal and orbital cellulitis: a 10-year review of hospitalized patients.眶隔前及眶蜂窝织炎：对住院患者的10年回顾
J Chin Med Assoc. 2006 Sep;69(9):415-22. doi: 10.1016/S1726-4901(09)70284-9.
4
Pediatric preseptal and orbital cellulitis: A 10-year experience.小儿眼睑前及眶蜂窝织炎：十年经验
Int J Pediatr Otorhinolaryngol. 2019 May;120:82-88. doi: 10.1016/j.ijporl.2019.02.003. Epub 2019 Feb 7.
5
Understanding pediatric bacterial preseptal and orbital cellulitis.了解儿童细菌性眶隔前蜂窝织炎和眼眶蜂窝织炎。
Middle East Afr J Ophthalmol. 2010 Apr;17(2):134-7. doi: 10.4103/0974-9233.63074.
6
Nine years' review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococus aureus in a tertiary hospital in India.印度一家三级医院的眶隔前蜂窝织炎和社区获得性耐甲氧西林金黄色葡萄球菌的 9 年回顾。
Indian J Ophthalmol. 2011 Nov-Dec;59(6):431-5. doi: 10.4103/0301-4738.86309.
7
Preseptal Cellulitis Or Orbital Cellulitis?
West Indian Med J. 2015 Jun 29;65(2):304-307. doi: 10.7727/wimj.2015.179.
9
Preseptal and orbital cellulitis: 15-year experience with sulbactam ampicillin treatment.眶隔前蜂窝织炎和眼眶蜂窝织炎：舒巴坦氨苄西林治疗15年经验
Turk J Pediatr. 2008 May-Jun;50(3):214-8.
10
Orbital cellulitis: clinical course and management challenges. the Lagos State University Teaching Hospital experience.眼眶蜂窝织炎：临床病程及管理挑战。拉各斯州立大学教学医院的经验。
Nig Q J Hosp Med. 2012 Oct-Dec;22(4):231-5.
引用本文的文献
1
Frontal osteomyelitis presenting as chronic preseptal abscess: an unusual scenario.表现为慢性眶隔前脓肿的额骨骨髓炎：一种不寻常的情况。
BMC Ophthalmol. 2025 Jun 26;25(1):342. doi: 10.1186/s12886-025-04207-4.
2
Characteristics of Patients Treated for Orbital Infections: A Retrospective Study at a Tertiary Care Hospital.眼眶感染患者的治疗特征：在一家三级医疗医院的回顾性研究
Cureus. 2025 Feb 14;17(2):e79004. doi: 10.7759/cureus.79004. eCollection 2025 Feb.
3
Bilateral Preseptal Cellulitis and Upper Eyelid Abscess Without Predisposing Factors: A Case Report and Pathogenic Hypothesis.无诱发因素的双侧眶隔前蜂窝织炎和上睑脓肿：一例报告及发病机制假说
Cureus. 2024 Dec 20;16(12):e76067. doi: 10.7759/cureus.76067. eCollection 2024 Dec.
4
Diagnosing and Treating Preseptal Cellulitis in Pediatric Patients After a Minor Trauma.小儿轻微创伤后眶隔前蜂窝织炎的诊断与治疗
Cureus. 2024 Nov 22;16(11):e74211. doi: 10.7759/cureus.74211. eCollection 2024 Nov.
5
Orbital Cellulitis Complicated by Cerebral Vein Thrombosis and Meningitis in a Young, Healthy Adult.一名年轻健康成年人的眼眶蜂窝织炎并发脑静脉血栓形成和脑膜炎
Cureus. 2024 Oct 31;16(10):e72770. doi: 10.7759/cureus.72770. eCollection 2024 Oct.
6
Pre-septal and Orbital Cellulitis: A Retrospective Analysis of Manifestations and Outcomes of a Tertiary Center in Kuwait.眶隔前蜂窝织炎和眼眶蜂窝织炎：科威特一家三级中心的临床表现及预后回顾性分析
Cureus. 2024 Jul 22;16(7):e65104. doi: 10.7759/cureus.65104. eCollection 2024 Jul.
7
Cerebritis, optic ischemia, and cavernous sinus thrombosis arising from sinonasal mucormycosis.鼻窦毛霉菌病引起的大脑炎、视神经缺血和海绵窦血栓形成。
Radiol Case Rep. 2024 Jun 15;19(9):3693-3700. doi: 10.1016/j.radcr.2024.05.051. eCollection 2024 Sep.
8
Septic embolism due to periorbital cellulitis caused by pimple drainage.因粉刺排脓导致眶周蜂窝织炎引发的脓毒性栓塞
Dermatol Reports. 2023 Aug 9;16(2):9779. doi: 10.4081/dr.2023.9779. eCollection 2024 Jun 14.
9
Orbital aspergillosis in an immunocompromised man with no history of trauma: a case report.免疫功能低下的男性患者，无外伤史，发生眼眶曲霉病：病例报告。
J Int Med Res. 2024 May;52(5):3000605241239857. doi: 10.1177/03000605241239857.
10
Fatal Orbital Cellulitis With Intracranial Abscess: A Case Report.致命性眼眶蜂窝织炎合并颅内脓肿：一例报告
Cureus. 2023 Jul 25;15(7):e42435. doi: 10.7759/cureus.42435. eCollection 2023 Jul.
本文引用的文献
1
Intracranial brain abscess preceded by orbital cellulitis and sinusitis.颅内脑脓肿继发于眼眶蜂窝织炎和鼻窦炎。
J Craniofac Surg. 2010 May;21(3):934-6. doi: 10.1097/SCS.0b013e3181d84124.
2
Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess.伴有骨膜下脓肿影像学表现的小儿眼眶蜂窝织炎的管理
Otolaryngol Head Neck Surg. 2009 Jun;140(6):907-11. doi: 10.1016/j.otohns.2009.02.014. Epub 2009 Apr 16.
3
ALARA: is there a cause for alarm? Reducing radiation risks from computed tomography scanning in children.尽可能低的合理可达到水平（ALARA）：是否需要警惕？降低儿童计算机断层扫描的辐射风险
Curr Opin Pediatr. 2008 Jun;20(3):243-7. doi: 10.1097/MOP.0b013e3282ffafd2.
4
Cytokine expression in pediatric subperiosteal orbital abscesses.
Can J Ophthalmol. 2007 Dec;42(6):865-9. doi: 10.3129/i07-151.
5
Microbiology of pediatric orbital cellulitis.儿童眼眶蜂窝织炎的微生物学
Am J Ophthalmol. 2007 Oct;144(4):497-501. doi: 10.1016/j.ajo.2007.04.049. Epub 2007 Aug 15.
6
Outcome of treated orbital cellulitis in a tertiary eye care center in the middle East.中东一家三级眼科护理中心治疗眼眶蜂窝织炎的结果
Ophthalmology. 2007 Feb;114(2):345-54. doi: 10.1016/j.ophtha.2006.07.059.
7
Pediatric ophthalmic computed tomographic scanning and associated cancer risk.小儿眼科计算机断层扫描及相关癌症风险。
Am J Ophthalmol. 2006 Dec;142(6):1046-53. doi: 10.1016/j.ajo.2006.08.024. Epub 2006 Oct 11.
8
Superior ophthalmic vein thrombosis in a patient with dacryocystitis-induced orbital cellulitis.泪囊炎诱发眼眶蜂窝织炎患者的眼上静脉血栓形成
Ophthalmic Plast Reconstr Surg. 2005 Sep;21(5):387-9. doi: 10.1097/01.iop.0000176269.84949.96.
9
Effect of corticosteroids in the acute management of pediatric orbital cellulitis with subperiosteal abscess.皮质类固醇在小儿眶蜂窝织炎伴骨膜下脓肿急性处理中的作用。
Ophthalmic Plast Reconstr Surg. 2005 Sep;21(5):363-6; discussion 366-7. doi: 10.1097/01.iop.0000179973.44003.f7.
10
Complications of acute sinusitis in children.儿童急性鼻窦炎的并发症
Otolaryngol Head Neck Surg. 2005 Jul;133(1):32-7. doi: 10.1016/j.otohns.2005.03.020.
Zotero 插件