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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Orbital compartment syndrome mimicking cerebral herniation in a 12-yr-old boy with severe traumatic asphyxia.
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Orbital compartment syndrome mimicking cerebral herniation in a 12-yr-old boy with severe traumatic asphyxia.

机译：一名患有严重创伤性窒息的12岁男孩的模拟脑疝的眼眶隔综合征。

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摘要

OBJECTIVE: To report a case of orbital compartment syndrome mimicking cerebral herniation in a boy with severe traumatic asphyxia. DESIGN: Case report. SETTING: A tertiary-care pediatric intensive care unit. SUBJECT: A 12-yr-old boy with traumatic asphyxia syndrome. INTERVENTION: Mechanical ventilation, chest tube drainage, nitric oxide, lateral canthotomies, intracranial pressure monitoring. MEASUREMENTS AND MAIN RESULTS: A patient is presented with severe traumatic asphyxia syndrome complicated by prolonged hypoxemia, massive capillary leak syndrome, and acute onset of pupillary dilation and loss of reactivity to light. Ophthalmologic examination confirmed bilateral orbital compartment syndrome, which was treated emergently with bilateral canthotomies at the bedside. The procedure was followed by prompt return of pupillary size and function and decrease in intraocular pressure. The patient experienced complete recovery of vision in the right eye, but vision in the left eye was severely impaired. CONCLUSIONS: Our case report emphasizes the importance of considering orbital compartment syndrome in patients with traumatic asphyxia syndrome. Recognition of orbital compartment syndrome is important in this setting because prompt operative intervention may reduce the likelihood of permanent vision loss.
机译：目的：报道一例严重创伤性窒息男孩模仿脑疝的眼眶隔综合征。设计：病例报告。地点：三级护理小儿重症监护室。主题：一个12岁的男孩，患有外伤性窒息综合征。干预：机械通气，胸管引流，一氧化氮，侧面截肢术，颅内压监测。测量和主要结果：一名患者出现严重的创伤性窒息综合征，并伴有长时间的低氧血症，大量毛细血管渗漏综合征，急性发作的瞳孔扩张和对光的反应能力丧失。眼科检查证实了双眼眶隔综合症，该病在床旁接受了双侧截肢术的紧急治疗。手术后迅速恢复瞳孔大小和功能，并降低眼内压。患者右眼视力完全恢复，但左眼视力严重受损。结论：我们的病例报告强调在创伤性窒息综合征患者中考虑眼眶隔综合征的重要性。在这种情况下，对眼眶综合征的认识很重要，因为及时进行手术干预可能会减少永久性视力丧失的可能性。

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