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目的:探讨外伤性视神经病的并发症,提出防范措施。方法:回顾性分析122例外伤性视神经病患者的临床资料,3例出现严重并发症,其中1例并发化脓性脑膜炎,1例并发颈内动脉假性动脉瘤,1例并发颈内动脉海绵窦瘘。结果:122例外伤性视神经病患者多数伴发眼眶骨折、颌面骨折、眼部及颅脑损伤,少数伴发全身其他部位损害。1例并发化脓性脑膜炎者经抗生素治疗痊愈;1例并发颈内动脉假性动脉瘤者经开颅手术后治愈,此2例患者视力均有明显提高;1例并发颈内动脉海绵窦瘘者死于突发鼻腔大出血。结论:外伤性视神经病有可能并发严重的颅内疾患、眼眶骨折、颌面外伤和内脏及四肢损伤,应提高警惕,进行有效防范和处理。
Objective: To investigate the complications of traumatic optic neuropathy and propose preventive measures. Methods: A retrospective analysis of 122 cases of traumatic optic neuropathy in patients with clinical data, 3 cases of serious complications, including 1 case of purulent meningitis, 1 case of pseudoaneurysm with internal carotid artery, 1 case of internal carotid artery sponge Sinus fistula. Results: The majority of 122 cases of traumatic optic neuropathy patients with orbital fracture, maxillofacial fracture, eye and head injury, a few with other parts of the body damage. One patient with purulent meningitis was cured by antibiotics. One patient with pseudoaneurysm of internal carotid artery was cured after craniotomy, and the visual acuity of the two patients was significantly improved. One patient with internal carotid cavernous fistula Who died of sudden nasal bleeding. Conclusion: Traumatic optic neuropathy may be associated with severe intracranial disease, orbital fractures, maxillofacial trauma and internal organs and limbs should be vigilant, effective prevention and treatment.