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在乌干达西南部农村地区的一个病例报告中,眶内血肿的患者即使就诊较晚,行紧急外科减压术也可能挽救受损视力。

Emergency surgical decompression of the orbit may rescue impaired vision even in a patient presenting late with a retrobulbar haematoma: A case report from rural southwestern Uganda.

机构信息

Senior Lecturer, Department of Surgery, Kabale University School of Medicine, Kabale, Uganda.

Public Health Nurse Specialist, Surgery for Community Foundation, Kabale, Uganda.

出版信息

Trop Doct. 2024 Jul;54(3):287-289. doi: 10.1177/00494755241244546. Epub 2024 Apr 22.

Abstract

Retrobulbar haematoma is a rare emergency that can potentially lead to blindness. Common causes include facial trauma and surgery. Timely surgical evacuation of the haematoma improves visual outcomes. In rural communities, patients often present to hospital after many hours and this increases the risk of poor visual outcomes. Radiological evaluation which is often not available in rural communities, results in further delay in surgical treatment. This case report highlights the need for urgent surgical intervention over radiological evaluation in patients with retrobulbar haematoma and orbital compartment syndrome.

摘要

眶后血肿是一种罕见的急症,可能导致失明。常见的原因包括面部创伤和手术。及时手术清除血肿可改善视力预后。在农村社区,患者通常在数小时后才到医院就诊,这增加了视力预后不良的风险。农村社区通常无法进行放射学评估,这进一步导致手术治疗的延迟。本病例报告强调了在患有眶后血肿和眼眶间隔综合征的患者中,紧急手术干预优于放射学评估的必要性。

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