外伤致左眼球上颌窦脱位1例报告  

Trauma induced left maxillary sinus dislocation of eyeball-a case report

作　　者：陈瑜 刘翠萍 崔莉萍 李学华 朱强 

机构地区：[1]甘肃省第二人民医院耳鼻咽喉头颈外科,兰州730000

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第2期100-101,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1临床资料 外伤致眼眶多发骨折临床较常见。外伤致眼眶多发骨折伴眼球上颌窦脱位而眼球较完整者临床较少见。我院近期收治1例，经急诊手术后眼球复位良好，给予相应的治疗后尚存光感，现报告如下。Patient male, 27 year old. Left facial and head trauma for 6 hours, due to motor vehicle accident. Patient state of mind was clear at arrival to hospital. Body temperature： 36C; Pulse： 80 Time/Minute; Breath： 20 Time/Minute; Blood pressure： 120/80 mm Hg. An irregular, horizontal laceration at arch of left eyebrow, approximately 8-10 cm. A laceration on left wing of nose skin, approximately 1 cm. A lacetation also under lower eyelid skin of right eye, approximately 2 cm. Left blepharedema and enophthalmos. Orbital and nasal sinuses CT indications：contusion and laceration of the left frontal lobe of brain; fracture of the left orbital frontal, ethmoid, sphenoid bone, left nasal, maxillary sinus and zygoma with soft tissue contusion and laceration; the left eyeball and optic nerve sunk into the maxillary sinus（See figure1）. Diagnosis：@Multiple orbital fractures; @Left maxillary sinus dislocation of eyeball;@The left frontal lobe contusion and laceration of brain.

关 键 词：眼眶多发骨折 眼球上颌窦脱位 

分 类 号：R777.5[医药卫生—眼科]