欢迎来到天天文库
浏览记录
ID:38227994
大小:239.02 KB
页数:3页
时间:2019-05-24
《颅脑相关疾病导致眼球突出的临床分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据-258·主堡塞堕里壁垒查垫!!生!旦箜!!鲞蔓!塑£!也!垦塑Q世些!!里!!!丛竺些垫!!:∑!!:垫:塑!:j颅脑相关疾病导致眼球突出的临床分析宋宏鲁杜军辉王雨生胡丹临床研究·【摘要】背景眼球突出可由颅脑相关疾病引起,处置不当可引起严重后果,对患者症状和体征的综合分析有助于诊断。目的分析颅脑相关疾病引起眼球突出的病因及其临床表现。方法回顾性分析颅脑相关疾病引起眼球突出的住院患者38例的临床资料,其中男2l例(55.26%),女17例(44.74%);年龄16—7l岁,平均37.21岁;右眼14例(36.84%),左眼2l例(55.26%),双眼3例(7.89%
2、)。结果38例患者按病因可分为4类:良性肿瘤25例(65.79%),恶性肿瘤2例(5.26%),颈动脉海绵窦瘘lO例(26.32%),脑膜脑膨出l例(2.63%)。眼球突出度18—35mm,平均22.17mm。脑膜瘤患者可伴有长期头疼(65.22%)、恶心或呕吐(21.74%)、视力下降(17.39%)、眼压升高、视野缺损等表现。颈动脉海绵窦瘘患者均有不同程度的视力下降、搏动性突眼,听诊器可在耳际、眼眶上部听诊到心脏收缩期血流轰隆声;均伴有不同程度的眼球运动受限,其中8例(80%)患者眼睑水肿,球结膜充血,严重者结膜突出于睑裂外;8例(80%)患者伴有视物模糊、复视;6例(
3、60%)患者伴有头疼。结论颅脑相关疾病患者可伴有眼球突出等眼部异常表现,分析其病史及临床表现可以为颅脑相关疾病的诊断提供有益的线索。【关键词】眼球突出;颅脑肿瘤;眼眶病;眼眶肿瘤中图分类号R771.1R771.3Clinicalanalysisofexophthalmoscausedbybrain-relateddiseasesSONGHong-lu,DUJun·hui,WANGYu—sheng。HUDan.DepartmentofOphthalmology,XijingHospital,FourthMilitaryMedicalUniversity,Xi’an710032
4、,ChinaCorrespondingauthor:HUDan,Email:hoodan@fmmu.edu.cn[Abstract】BackgroundExophthalmoscausedbybrain-relateddiseaseswillresultintheseriousoutcomeiftreatedimproperly.Itwillbehelpfulforthediagnosisofthediseasecorrectlywhensignsandsymptomsaretakenintoconsideration.ObjectiveThisstudywastoanal
5、yzethecauseandclinicalmanifestationsofexophthalmosduetobrain-relateddiseases.MethodsTheclinicaldatafrom38patientswithexophthalmoscausedbybrain·relateddiseaseswascollectedandanalyzedretrospectively.Thesex。age,cause,exophthalmosrange,symptomandsignofpatientswereconsidered.ResultsThegenderof3
6、8patientswas21males(55.26%)and17females(44.74%),agedfrom16to71yearsoldwiththeaverageage37.21.Fourtypesofbrain-relateddiseaseswereassociatedwiththeexophthalmosofeyeballs.includingbenigntumor65.79%(25/38)containingthemeningioma60.53%(23/38),chordoma5.26%(2/38);malignanttumor5.26%(2/38)contai
7、ningthemalignantmeningioma2.63%(1/38)。choroidtongonecasesofpapillarycarcinoma2.63%(1/38);carotid-cavernousfistula26.32%(10/38);meningoencephaloeele2.63%(1/38).Exophthaimosrangedfrom18to35mminthepatientswiththeaveragevalueof22.17mm.Inallofthe38patients.theright
此文档下载收益归作者所有