Bagheri Abbas, Veisi Amirreza, Memarzade Sayed Ezatollah, Tavakoli Mehdi
Ocular Tissue Engineering Research Center.
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ophthalmic Plast Reconstr Surg. 2018 Sep/Oct;34(5):e151-e153. doi: 10.1097/IOP.0000000000001165.
A 5-year-old boy was accidentally injured by a compressed air blast to his right eye and developed periorbital and subconjunctival emphysema and proptosis subsequently. CT scan showed periorbital subcutaneous and intraorbital emphysema around the right eye, as well as intracranial and cervical emphysema without frank fractures in orbital bones. He was examined under sedation, and the subconjunctival air was aspirated. He was also prophylactically treated with topical and systemic antibiotics to prevent infection. Emphysema was resorbed entirely within 3 weeks. In conclusion, compressed air injury can occur in a child and manifest with orbital and periorbital emphysema without any detectable fracture and any clear entrance site and may need emergent management to save the vision or upper respiratory airways.
一名5岁男孩右眼被压缩空气冲击意外受伤，随后出现眶周和结膜下气肿以及眼球突出。CT扫描显示右眼周围眶周皮下和眶内气肿，以及颅内和颈部气肿，眼眶骨骼无明显骨折。在镇静状态下对他进行了检查，并抽出了结膜下气。他还接受了局部和全身抗生素的预防性治疗以预防感染。气肿在3周内完全吸收。总之，儿童可发生压缩空气损伤，表现为眼眶和眶周气肿，无任何可检测到的骨折和明显的入口部位，可能需要紧急处理以挽救视力或上呼吸道。
