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眶隔前蜂窝织炎与眶蜂窝织炎:儿科病例。

Preseptal Cellulitis Versus Orbital Cellulitis: A Pediatric Case.

机构信息

Beyster Institute for Nursing Research, Hahn School of Nursing and Health Science, University of San Diego, San Diego, California.

出版信息

Adv Emerg Nurs J. 2022;44(3):199-205. doi: 10.1097/TME.0000000000000416.

DOI:10.1097/TME.0000000000000416
PMID:35900239
Abstract

Eye infection with or without swelling is a common complaint in pediatric patients. It commonly affects the eyelid, which can be confused with an insect bite, orbital pseudotumor, or panophthalmitis. The article highlights the differences between preseptal and orbital cellulitis. Preseptal and orbital cellulitis originate from other infections because of the thin bone barrier that separates the eye from other facial structures. The clinical manifestations of preseptal and orbital cellulitis may be perplexing, and emergency nurse practitioners must distinguish between the two infections. The incorrect diagnosis may lead to complications. The complications associated with orbital cellulitis are vision loss, brain abscess, vision loss, cavernous sinus thrombophlebitis, orbital cellulitis, subperiosteal abscess, and death. Thus, early diagnosis and treatment will prevent these complications.

摘要

眼部感染伴或不伴肿胀是儿科患者常见的主诉。它通常影响眼睑,容易与昆虫叮咬、眼眶假瘤或眼内炎相混淆。本文强调了前房和眼眶蜂窝织炎之间的区别。前房和眼眶蜂窝织炎源于其他感染,因为眼球与其他面部结构之间的薄骨屏障。前房和眼眶蜂窝织炎的临床表现可能令人困惑,急诊执业护士必须区分这两种感染。错误的诊断可能导致并发症。与眼眶蜂窝织炎相关的并发症包括视力丧失、脑脓肿、视力丧失、海绵窦血栓性静脉炎、眼眶蜂窝织炎、骨膜下脓肿和死亡。因此,早期诊断和治疗可以预防这些并发症。

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