Spontaneous orbital hemorrhage in adult females. A report of three cases.
Spontaneous orbital hemorrhage in adult females. A report of three cases.
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成年女性自发性眼眶出血。
DOI：
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发表时间：
1992
期刊：
影响因子：
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通讯作者：
M. Tamai
中科院分区：
文献类型：
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作者：
M. Shimura;M. Kiyosawa;H. Aikawa;T. Tominaga;W. Matsumoto;M. Tamai
报道了 3 名成年女性自发性眼眶出血的 3 例。所有患者均出现眼眶急性放射痛、呕吐和眼球突出，伴有活动受限和眼睑瘀斑。其一是由于眼眶静脉曲张较大，且之前有间歇性眼球突出病史；其他案件的原因无法从其背景确定。几周之内，他们的血肿全部康复，无需手术，预后良好。 40毫米汞柱压力下的眼眶静脉出血将导致四块直肌承受超过500克的张力。对于这种临床紧急情况，建议早期加压止血，等待其自然吸收。
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.