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一例罕见的呕吐诱发球后出血病例。

A Rare Case of Vomiting-Induced Retrobulbar Hemorrhage.

作者信息

Kumar Savannah, Beketova Tatyana, Rosenbaum Pearl S, Amin Abha

机构信息

Medicine, New York Medical College, Valhalla, USA.

Department of Ophthalmology, Westchester Medical Center/New York Medical College, Valhalla, USA.

出版信息

Cureus. 2023 Feb 10;15(2):e34839. doi: 10.7759/cureus.34839. eCollection 2023 Feb.

DOI:10.7759/cureus.34839
PMID:36919065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10008326/
Abstract

Retrobulbar hemorrhage may result in sudden accumulation of blood in the retrobulbar space which can lead to an orbital compartment syndrome. This potentially blinding condition is characterized by a rapid increase in intra-orbital pressure. While most commonly associated with orbital trauma, it may rarely occur with Valsalva events in patients on anticoagulants. In this report, we present a case of a retrobulbar hemorrhage secondary to self-induced vomiting, occurring in a patient on no anticoagulation medication.

摘要

球后出血可能导致球后间隙血液突然积聚,进而引发眶间隔综合征。这种可能致盲的病症的特征是眶内压力迅速升高。虽然最常与眼眶外伤相关,但在服用抗凝剂的患者中,瓦尔萨尔瓦动作时也可能罕见地发生。在本报告中,我们呈现了一例在未服用抗凝药物的患者中因自我诱导呕吐继发球后出血的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec17/10008326/8eeefd5ea962/cureus-0015-00000034839-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec17/10008326/dbefe7f5744a/cureus-0015-00000034839-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec17/10008326/8eeefd5ea962/cureus-0015-00000034839-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec17/10008326/dbefe7f5744a/cureus-0015-00000034839-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec17/10008326/8eeefd5ea962/cureus-0015-00000034839-i02.jpg

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本文引用的文献

1
Spontaneous Retrobulbar Haematoma.自发性球后血肿
Case Rep Radiol. 2015;2015:796834. doi: 10.1155/2015/796834. Epub 2015 May 10.
2
Retrobulbar hemorrhage: inferolateral anterior orbitotomy for emergent management.球后出血:急诊处理行眶下外侧前部眶切开术。
Arch Ophthalmol. 2005 Sep;123(9):1260-2. doi: 10.1001/archopht.123.9.1260.
3
Valsalva hemorrhagic retinopathy.瓦尔萨尔瓦出血性视网膜病变
Trans Am Ophthalmol Soc. 1972;70:298-313.
4
Subperiosteal orbital hematoma induced by the valsalva maneuver.瓦尔萨尔瓦动作诱发的骨膜下眼眶血肿。
Am J Ophthalmol. 1985 Oct 15;100(4):617-8. doi: 10.1016/0002-9394(85)90696-8.