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罕见的眼眶异物。

Unusual orbital foreign bodies.

作者信息

Agarwal P K, Kumar H, Srivastava P K

机构信息

Department of Opthalmology, King George's Medical College, Lucknow.

出版信息

Indian J Ophthalmol. 1993 Oct;41(3):125-7.

PMID:8125544
Abstract

Retained intraorbital organic foreign bodies, particularly wooden, are commonly encountered in ophthalmologic practice. We treated two children who had sustained such injury while playing. They presented to us with non-healing sinus with purulent discharge. In one of the patients, X-rays and CT scan helped to clinch the diagnosis, whereas in the other patient diagnosis was possible by correlating history with clinical findings. Surgical exploration in both patients helped us to remove the foreign bodies. Surprisingly, both the foreign bodies were 7 cm long wooden pieces. We, however, caution that management of such cases should be conservative and that surgical exploration be done only in case of complication. From our experience, we recommend proper localisation by all possible means, blunt dissection, careful haemostasis coupled with excellent lighting and exposure in the atraumatic removal of intraorbital foreign bodies.

摘要

眼眶内残留的有机异物,尤其是木质异物,在眼科临床实践中较为常见。我们治疗了两名在玩耍时受此类损伤的儿童。他们因鼻窦不愈合且有脓性分泌物前来就诊。其中一名患者通过X线和CT扫描确诊,而另一名患者则通过结合病史和临床检查结果得以确诊。对两名患者进行手术探查后取出了异物。令人惊讶的是,两个异物均为7厘米长的木片。然而,我们提醒,此类病例的处理应保守,仅在出现并发症时才进行手术探查。根据我们的经验,我们建议通过各种可能的方法进行准确的定位,采用钝性分离,仔细止血,并在无创伤地取出眼眶内异物时保证良好的照明和视野暴露。

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