诊治经眼眶和鼻窦及颅内残留异物1例
发布时间：2019-05-17 14:04
【摘要】：正患者,男,29岁,因异物飞溅入右眼后眼痛、右鼻出血8h入院。异物为金属,具体大小、形状不详。体检:生命体征平稳;神清,平车推入,检查配合,右眼睑明显肿胀,眶内正常结构消失,无法窥清,无光感,运动不良,左眼球运动可,对光反射可,右侧鼻腔可见干涸血痂,口咽部无新鲜出血。鼻窦CT平扫可见:①右侧眼球挫裂伤;②右侧筛窦内异常密度影;③异物上界侵入颅底。急诊于全身麻醉下行右眼眼内容物剜除加经鼻内镜右侧鼻腔异物
[Abstract]:The positive patient, male, 29 years old, was admitted to hospital for 8 hours because of foreign body splashing into the right eye. The foreign body is metal, the specific size, the shape is unknown. Physical examination: vital signs are stable; Shenqing, flat cart push in, examination cooperation, right eyelid obvious swelling, orbital normal structure disappeared, unable to peek, no light sense, dyskinesia, left eye movement can be, to light reflection can be seen, right nasal cavity can see dry blood scab, oropharynx no fresh bleeding. CT plain scan of paranasal sinuses showed: (1) contusion and laceration of the right eyeball; (2) abnormal density in the right ethmoid sinus; (3) invasion of the skull base by the upper boundary of the foreign body. Emergency removal of contents of the right eye under general anesthesia and foreign bodies in the right nasal cavity through nasal endoscopy
【作者单位】： 南昌大学第一附属医院耳鼻咽喉科;
【分类号】：R765.8
，
本文编号：2479150
[Abstract]:The positive patient, male, 29 years old, was admitted to hospital for 8 hours because of foreign body splashing into the right eye. The foreign body is metal, the specific size, the shape is unknown. Physical examination: vital signs are stable; Shenqing, flat cart push in, examination cooperation, right eyelid obvious swelling, orbital normal structure disappeared, unable to peek, no light sense, dyskinesia, left eye movement can be, to light reflection can be seen, right nasal cavity can see dry blood scab, oropharynx no fresh bleeding. CT plain scan of paranasal sinuses showed: (1) contusion and laceration of the right eyeball; (2) abnormal density in the right ethmoid sinus; (3) invasion of the skull base by the upper boundary of the foreign body. Emergency removal of contents of the right eye under general anesthesia and foreign bodies in the right nasal cavity through nasal endoscopy
【作者单位】： 南昌大学第一附属医院耳鼻咽喉科;
【分类号】：R765.8
，
本文编号：2479150
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