高处坠落伤后颈动脉海绵窦瘘1例  

A case report of carotid-cavernous fistulas after high falling injury

作　　者：许寅聪[1] 王超英[1] XU Yincong;WANG Chaoying(Department of Ophthalmology,Bethune International Peace Hospital,Shijiazhuang 050000,China)

机构地区：[1]白求恩国际和平医院眼科,石家庄050000

出　　处：《眼科学报》2018年第3期137-143,共7页Eye Science

摘　　要：患者青年女性,工作时不慎从4 m高处跌落,伤后1周眼科检查时发现左眼上睑下垂、眼球固定、眼球突出、结膜下出血,复视,伤后2周进展为右眼结膜下出血水肿,并出现左侧搏动性血管杂音,进行全脑血管造影证实为左侧颈动脉海绵窦瘘,并予以介入海绵窦瘘栓塞术治疗,治疗效果满意后出院。The patient, a young woman, was referred to ophthalmology department at 1 week after her falling from 4 meters high during her work. Her left eye was diagnosed with ptosis, eyeball fixation, exophthalmos, subconjunctival hemorrhage and diplopia. After 2 weeks, her conditions progressed to subconjunctival hemorrhage and edema of the right eye, with pulsatile vascular murmur on the left side. Left carotid-cavernous fistula was confirmed with digital subtraction angiography, and treated with interventional embolization. Satisfactory outcomes were obtained and the patient was discharged.

关 键 词：坠落伤 颈动脉海绵窦瘘 上睑下垂 海绵窦瘘栓塞术 

分 类 号：R771.3[医药卫生—眼科]