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眶深部植物性异物用常规X 线摄片不易发现,B 型超声检查虽有时能显示异物,但不易确定其全貌。利用CT 扫描对临床上怀疑有眶内植物性异物的4例患者进行检查。并通过手术验证,表明CT 扫描具有定性定位诊断价值。例1 黄××男34岁左眼被芦根戳伤8年,流脓2个月,于1990年10月11日入院,住院号347789。左眼被芦苇残根刺伤后,次日昏迷,怀疑颅内血肿,在当地县医院开颅探查,未获得阳性结果而转上海某医院保守治疗3个月。近2个月来。左上睑从原创口经常流脓、流血,考虑为眶骨髓炎,入院治疗。左眼视力60cm 指数。上眶睑沟内侧有一长约4cm 疤痕,其中部有一0.4cm 直径瘘口,深约2cm。视乳头苍白。眼球突出度为14,19(103)。视
Orbital deep plant foreign body with conventional radiography is not easy to find, B-mode ultrasound can sometimes show foreign body, but not easy to determine the whole picture. Four cases of clinically suspected orbital plant foreign bodies were examined by CT scan. And through the surgical verification, indicating that CT scan with qualitative localization diagnostic value. Example 1 × × male Male 34-year-old left eye was punctured by Rhizoma root for 8 years, pus for 2 months, was admitted on October 11, 1990, with a hospital number of 347789. The left eye was stabbed reed stubble, coma the next day, suspected intracranial hematoma, craniotomy in the local county hospital did not get positive results and go to a hospital in Shanghai conservative treatment for 3 months. Nearly two months have come. Left upper eyelid often pus from the original mouth, bleeding, consider orbital osteomyelitis, admission treatment. Left eye 60cm index. There is a 4cm long scar on the medial side of the orbital ditch. There is a 0.4cm diameter fistula in the middle, about 2cm deep. Optic head pale. Eyeball protrusion is 14,19 (103). Visual