Adamson Jonathan, Waterfield Thomas
Emergency Department, Leicester Royal Infirmary, Leicester, UK.
The Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK.
Arch Dis Child Educ Pract Ed. 2019 Apr;104(2):79-83. doi: 10.1136/archdischild-2017-314297. Epub 2018 Jun 22.
'It is midnight and you are called to see a thirteen-year-old boy who has been brought to the paediatric emergency department with a 24-hour history of swelling and redness of his left eye. He has had a 'runny nose' for a couple of days. He is systemically well. His upper and lower lids are red and swollen such that his eye is not open fully, though you elicit normal eye movements when you open his eye. Pupils are equal and reactive with no afferent pupillary defect. Visual acuity and colour vision are normal on examination.' In this article, we consider the approach to preseptal and orbital cellulitis in children including the initial assessment and management options.
午夜时分，你接到通知去看一名13岁男孩，他被带到儿科急诊科，左眼红肿已有24小时。他已经流鼻涕好几天了。他全身状况良好。他的上下眼睑红肿，以至于眼睛无法完全睁开，不过当你帮他睁开眼睛时，眼球运动正常。瞳孔等大且有反应，没有传入性瞳孔障碍。检查时视力和色觉正常。在本文中，我们将探讨儿童眶隔前蜂窝织炎和眼眶蜂窝织炎的处理方法，包括初始评估和管理选项。
