Spontaneous Orbital Hemorrhage in Adult Females
Spontaneous Orbital Hemorrhage in Adult Females
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成年女性自发性眼眶出血
DOI：
10.1159/000310332
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
M. Tamai
中科院分区：
文献类型：
--
作者：
M. Shimura;M. Kiyosawa;H. Aikawa;T. Tominaga;W. Matsumoto;M. Tamai
本文报告3例成年女性自发性眼眶出血。所有患者均有眼眶急性放射性疼痛、呕吐、眼球突出、活动受限和眼睑瘀斑。其中一例是由于大的眼眶静脉曲张，有间歇性眼球突出的病史；其他病例的原因无法从他们的背景中确定。几周内，所有患者均已从血肿中恢复，且无需手术，预后良好。眼眶静脉出血压力为40毫米汞柱时，会对四条直肌造成500克以上的张力。对于这一临床急症的治疗，建议早期加压止血，等待其自发吸收。
Three cases of spontaneous orbital hemorrhages in 3 adult females are reported. All of the patients had acute radiating pain in the orbit, vomiting and proptosis with a limitation of motility and ecchymosis of the eyelids. One was due to a large orbital varix with a preceding history of intermittent exophthalmos; the causes of the other cases could not be determined from their backgrounds. Within a few weeks, all of them had recovered from hematoma and had good prognoses without surgery. Orbital venous bleeding with 40 mm Hg pressure will cause more than 500 g tension on the four rectus muscles. To treat this clinical emergency, hemostasis with compression in the early phase and waiting for its spontaneous absorption are recommended.