外伤性眶内血肿的临床表现及治疗

The clinical characteristics and management of traumatic orbital hematoma

目的 探讨外伤性眶内血肿的临床特点和治疗方法。方法 回顾分析 2 3例 2 3眼外伤性眶内血肿的临床表现 ,探讨了外伤性眶内血肿的发病原因、影像学特征和治疗方法。结果 外伤性眶内血肿引起视力下降、眼眶压增高、眼球突出、复视及眼部运动神经损害。视力恢复较血肿消退快。血肿消退速度从 2周后加快。视力恢复≥ 0 3者 19眼占 82 61% ,眼运动神经损伤恢复者 18例占 78 2 6%。结论 外伤性眶内血肿对眼组织损害较大 ,应早期采取综合治疗 :溶解血肿、降低眶压、促进吸收并改善循环。

Objective To evaluate the clinical characteristics and the treatments of traumatic orbital hematoma.Methods Retrospective review of the 23 cases(23 eyes) of traumatic orbital hematoma and its cause,clinical imaging characters and treatments.Results Traumatic orbital hematoma resulted in vision decrease,orbital pressure increase,proptosis,diplopia and injuries of ocular motor nerve.The vision recovered faster than the dissolvation of hematoma.Orbital hemorrhage dissolved fastest in the second week.In 19 cases,the vision was above 0.3,and ocular motor nerve injury recovered in 18 cases.Conclusion Traumatic orbital hematoma is harmful to orbital tissue,early treatment is important.The therapy include reducing intraocular pressure,promoting hemorrhage absorption and improving blood circulation.