最近审阅: 7 二月 2021
最近更新: 27 十月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 近期的鼻窦感染
  • 近期的眼睑损伤
  • 眼睛红肿
  • 眼痛
  • 视力下降
  • 眼球突出
  • 眼睑水肿
  • 眼睑的蚊虫咬伤痕迹
  • 睑腺炎或睑板腺囊肿
  • 耳部或面部的感染
  • 眼肌麻痹和复视

其他诊断因素

  • 眶外伤
  • 皮肤感染
  • 球结膜水肿
  • 眼周压痛
  • 发热
  • 眼睑红斑
  • 眼压升高
  • 头痛
  • 不适感
  • 既往口腔感染或口腔护理
  • 眼眶骨折
  • 眼内或眼眶异物
  • 嗜睡
  • 恶心/呕吐
  • 流涕

危险因素

  • 鼻窦炎
  • 低龄
  • 男性
  • 未接种乙型流感嗜血杆菌疫苗的儿童

诊断性检查

首要检查

  • 临床检查
  • 鼻窦和眼眶增强 CT
  • 白细胞计数

需考虑的检查

  • 血培养
  • 微生物拭子检测(结膜、鼻咽部或皮肤伤口)
  • 头部和眼眶增强 MRI
  • 腰椎穿刺:

治疗流程

撰稿人

Oculofacial Plastic and Reconstructive Surgery

Department of Ophthalmology

Kaiser Permanente Medical Group

Union City

CA

利益声明

HJK declares that she has no competing interests.

Professor of Clinical Ophthalmology

Department of Ophthalmology

University of California San Francisco

San Francisco

CA

利益声明

RK declares that he has no competing interests.

Dr H. Jane Kim and Dr Robert Kersten would like to gratefully acknowledge Dr Sandra Lora Cremers and Dr Sarosh Janjua, previous contributors to this topic. SLC and SJ declare that they have no competing interests.

同行评议者展开全部内容

Director of Cosmetic Dermatology

Department of Dermatology

Cosmetic and Procedural Dermatology

Henry Ford Health System

Detroit

MI

利益声明

DMO declares that he has no competing interests.

Resident

Wilmer Eye Institute

Baltimore

MD

利益声明

IW declares that she has no competing interests.

Staff Physician

Cleveland Clinic

Cleveland

OH

利益声明

CR declares that she has no competing interests.

Specialist Registrar in Ophthalmology

Royal Victoria Infirmary

Newcastle

UK

利益声明

JS declares that he has no competing interests.

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