頁籤選單縮合
題 名 | Retrobulbar Hemorrhage as a Rare Complication in Surgical Reduction of Blowout Fracture--A Case Report=眼底骨折經手術復位後引起罕見之眼球後出血--個例報告 |
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作 者 | 錢浩瀚; 蔡裕銓; 林煌基; 曾繁穎; 楊菘宇; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 8:4 1999.12[民88.12] |
頁 次 | 頁316-321 |
分類號 | 416.261 |
關鍵詞 | 眼底骨折; 眼球後出血; Post operative retrobulbar hematoma; Orbial fracture; |
語 文 | 英文(English) |
中文摘要 | 眼球後出血是一個極罕見的併發症,其在眼眶的鈍挫傷與眼周的美容手術都有可能出現。本病例探討一位顴骨併眼底骨折經手術復位後引起眼球後出血之罕見個例報告。 病患由於骨折引起臉部不對稱、眼眶瘀青及複視,因而住院接受手術復位治療。手術二十小時後發現其左眼嚴重疼痛並有觸痛、腫張厲害且眼球外突。觸診發現其左眼球呈現若石頭般堅硬,並且視力開始減退。在診斷疑似眼球後出血的情況下馬上給予外科與內科療法。病患因而病症緩解而出院,之後門診追蹤未發現有後遺症。 本個例之討論集中在眼球後出血之肇因、如何早期診斷眼球後出血、以及內外科治療方式。期望能以此經驗來加深讀者們對眼周圍手術所可能產生之併發症的印象。 |
英文摘要 | Retrobulbar hemorrhage is a rare complication of blunt orbital trauma or periorbital, including cosmetic, surgery. Although all plastic surgeons are well aware of this complication, few have the unfortunate opportunity to experience this disaster in their practice. We present a case of a patient who developed retrobulbar hematoma after surgical treatment of left zygomatic fracture and blowout fracture of the orbital floor. Initial symptoms and signs of facial asymmetry, periorbital ecchymosis with upward gaze diplopia due to the fractures were noted and he was admitted for surgical treatment. Twenty hours after the surgery, the patient developed severe left eye pain and tenderness, massive swelling of left periorbital tissue with proptosis. Palpation revealed a stony hard left eyeball and his visual acuity had also deteriorated. Retrobulbar hematoma was suspected and emergent surgical and medical treatments were instituted. The patient recovered well from the incident and developed no other sequelae after 4 months of follow up. A review of literature on the etiologies, diagnosis, surgical and medical modalities in treating this complication are also presented. |
本系統中英文摘要資訊取自各篇刊載內容。