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眼眶骨折

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
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最后审阅： 23 Jun 2024
最后更新： 20 Oct 2021

小结

定义

病史和体格检查

关键诊断因素

  • 上视时复视
  • 眼球位置异常
  • 眼角间距增加
  • 眼迷走神经反射症状（心动过缓、血压过低、恶心/呕吐）
完整详情

其他诊断因素

  • 视觉障碍
  • 眶周瘀斑
  • 眶周水肿
  • 神经感觉缺失
  • 结膜下出血
  • 眶下缘台阶感
  • 色觉丧失
  • 瞳孔对光反射受损
  • 视力下降
完整详情

危险因素

  • 青年人和儿童
  • 男性
完整详情
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诊断性检查

首要检查

  • 面部 X 线检查
  • 眼眶 CT 扫描
完整详情

需考虑的检查

  • 眼眶 MRI
  • 被动牵拉试验
  • 视轴检查
完整详情

新兴检查

  • 眼眶超声扫描
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治疗流程

急症处理

眼部急症

非眼部急症

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撰稿人

作者

Alistair R.M. Cobb, MBBS, BDS, FRCS (OMFS), FDSRCS (Eng), MFSEM (UK)

Consultant Oral and Maxillofacial Surgeon

South West Cleft Service

United Hospitals Bristol NHS Trust

Bristol

UK

利益声明

ARMC is an author of a number of references cited in this topic.

鸣谢

Mr Alistair Cobb would like to gratefully acknowledge Mr Timothy Lloyd, a previous contributor to this topic.

利益声明

TL declares that he has no competing interests.

同行评议者

Andrew Parfitt, MBBS, FFAEM

Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident Emergency Medicine

St Thomas' Hospital

London

UK

利益声明

AP declares that he has no competing interests.

Mark I. Neuman, MD

Assistant Professor of Pediatrics

Children's Hospital Boston

Harvard Medical School

Boston

MA

利益声明

MIN declares that he has no competing interests.

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