误诊眶深部原发金葡菌脓肿1例

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病例:男性,2岁。左眼球外突一月,于1988年9月9日入院。起病时自感眼痛,发现左眼球较为突出,进展较快,伴低热,曾在当地医院治疗。无外伤史。检查:T37.5℃,左侧眼球突向上移位,不能向下转动,上睑遮盖上方角膜约7mm,球结膜充血(+),下睑触及2×1cm肿块,质中等,活动差,眼底下方网膜有张力线。X线眼眶片示左侧眼眶的下、外壁受压。Hb98g/L,RBC3.7×10~(12)/L,WBC12.8×10~9/L。经抗生索、激素治疗2天,T36.7℃,肿块略缩小,再继用11天,肿物尚未完全消退。疑为实 Case: Male, 2 years old. The left eyeball broke out in January and was admitted to hospital on September 9, 1988. At the time of onset, he felt pain in his eyes and found that the left eyeball was prominent, progressed rapidly, and accompanied by low fever. He had been treated in a local hospital. No history of trauma. Examination: T37.5°C, the left eyeball is displaced upwards and cannot be turned downwards. The upper eyelid covers the upper cornea about 7mm, the conjunctiva hyperemia (+), the lower eyelid touches 2×1cm mass, medium quality, poor activity, fundus There is a tension line at the lower omentum. The X-ray eyelid shows the lower and outer walls of the left eyelid under pressure. Hb98g/L, RBC3.7×10~12/L, WBC 12.8×10~9/L. After treatment with antibiotics and hormones for 2 days, T36.7°C, the tumor was slightly reduced, and after 11 days, the tumor had not completely resolved. Suspected
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