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[急性鼻窦炎的眼眶并发症:一名10岁儿童的眼眶蜂窝织炎]

[Orbital complication of acute sinusitis : Orbital cellulitis in a 10-year-old child].

作者信息

Bajor A, Lang C P, Bültmann E, Framme C, Hufendiek K

机构信息

Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover, Hannover, Deutschland.

Klinik für Hals-, Nasen-, Ohrenheilkunde, Medizinische Hochschule Hannover, Hannover, Deutschland.

出版信息

Ophthalmologe. 2017 Apr;114(4):365-369. doi: 10.1007/s00347-016-0296-7.

DOI:10.1007/s00347-016-0296-7
PMID:27314239
Abstract

Bacterial orbital cellulitis is a life-threatening infection of the postseptal orbital tissue. It can occur in the context of sinusitis, particularly in children and adolescents. Ocular complications include exposure keratopathy, increased intraocular pressure, occlusion of the central retinal artery or vein and optic neuropathy. Rarely, a subperiosteal abscess can occur, and osteomyelitis can lead to spread of the infection to the cerebrum. A rapid diagnosis and targeted therapy are essential for saving the eye as well as the life of the patient.

摘要

细菌性眼眶蜂窝织炎是一种危及生命的眶隔后眼眶组织感染。它可发生于鼻窦炎的情况下,尤其是在儿童和青少年中。眼部并发症包括暴露性角膜病变、眼压升高、视网膜中央动脉或静脉阻塞以及视神经病变。很少会发生骨膜下脓肿,骨髓炎可导致感染扩散至大脑。快速诊断和针对性治疗对于挽救患者的眼睛和生命至关重要。

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本文引用的文献

1
[Orbital and intracranial complications of acute sinusitis. Diagnostics and therapy in children and adolescents].[急性鼻窦炎的眼眶及颅内并发症。儿童和青少年的诊断与治疗]
HNO. 2011 Jan;59(1):75-86; quiz 87-8. doi: 10.1007/s00106-010-2162-2.
2
[Orbital complications of acute pediatric rhinosinusitis: medical treatment versus surgery and analysis of the computer tomogram].[小儿急性鼻窦炎的眼眶并发症:药物治疗与手术治疗及计算机断层扫描分析]
Laryngorhinootologie. 2005 Nov;84(11):817-21. doi: 10.1055/s-2005-870121.
3
Complications of pediatric paranasal sinusitis.
小儿鼻窦炎的并发症
Pediatr Radiol. 2004 Dec;34(12):933-42. doi: 10.1007/s00247-004-1252-2. Epub 2004 Jul 27.
4
[Complications of inflammatory paranasal sinus diseases including iatrogenically-induced complications].[炎症性鼻窦疾病的并发症,包括医源性并发症]
Eur Arch Otorhinolaryngol Suppl. 1993;1:61-102.