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眶周坏死性筋膜炎一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Ophthalmology
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.0412-4081.2016.04.015
- Key Word:
- No keyword available
Abstract： 笔者于2013年3月至2015年3月援助摩洛哥医疗工作期间接诊1例眶周坏死性筋膜炎患者,现将诊治过程总结如下.患者女性,25岁.因右眼睑皮肤发黑变硬、眼周红肿伴发热2周由内科转眼科就诊.患者自述2周前右眼被虫咬伤史,伤后第2天因有发热症状入内科接受抗生素静脉滴注治疗.否认糖尿病、肾病史,否认其他全身疾病史,否认眼部疾病史.查体:意识清楚,体温38.5℃,脉搏80次/分,呼吸20次份,血压110/80 mmHg(1 mmHg=0.133 kPa).右眼睁眼困难,辅助开睑后查视力1.0,右眼上睑30 mm×15 mm,下睑10 mm×3 mm范围的皮肤坏疽,呈黑色痂皮样、质硬,轻触痛;黑色病灶周围眼眶组织红肿,压痛,未扪及明显捻发音.
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