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额部血管瘤注射鱼肝油酸钠引起视神经萎缩视力完全丧失,病例少见,现报告如下: 冷××女7岁住院号174785 1980年12月30日来外科诊治。主诉:右额部皮肤有一红色肿物已10余日。检查:右侧额部发际距中线约1cm处,有2×3 cm红色斑,压之不退色,诊断为血管瘤,给鱼肝油酸钠局部注射。1981年1月5日复诊,病情同前,重复做一次上述治疗。同年2月22日复查,见血管瘤已硬化,7月26日,又在患部注射鱼肝油酸钠0.8ml,当注射时因阻力较大,因而所加压力也比较大。注射后患儿即感眼痛,随之出现头晕,恶心,呕吐,即转眼科检查,当时外眼及眼底未见改变。两小时后,右眼上睑下垂,眼球外斜,各方转动皆不能,瞳孔开大,瞳孔直接光反应消失,间接存在,视力光感消失眼底仍未见改变。经用血管扩张剂、激素、维生素等治疗5天,症状未见好转,遂转院做高压氧治疗共30次,右眼睑
Department of forehead hemangioma injection of sodium heparinate cause atrophy of optic atrophy complete loss of vision, rare cases are reported as follows: cold × × female 7-year-old hospital number 174785 December 30, 1980 to surgical treatment. Chief complaint: Right forehead skin has a red tumor has more than 10 days. Check: the right forehead hair about 1cm from the midline, with 2 × 3 cm red spots, the pressure does not fade, diagnosed as hemangioma, to local injection of sodium codlate. January 5, 1981 referral, the same condition as before, once again to do the above treatment. February 22 the same year review, see the hemangioma has sclerosis, July 26, but also in the affected area injection of sodium heparinate 0.8ml, when the injection due to greater resistance, so the pressure is relatively large. After injection, children feel eye pain, followed by dizziness, nausea, vomiting, blink of an eye examination, then the outer eye and fundus no change. Two hours later, the right eye ptosis, extraocular oblique, all parties can not rotate, open the pupil, the pupil direct light response disappear, indirect existence, visual acuity disappeared retinal still no change. After vasodilators, hormones, vitamins and other treatment for 5 days, the symptoms did not improve, then transferred to hyperbaric oxygen treatment for a total of 30 times, the right eyelid