CAJ | 학술논문

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.
목적:탐토외상성시신경병적병발증,제출방범조시.방법:회고성분석122예외상성시신경병환자적림상자료,3례출현엄중병발증,기중1례병발화농성뇌막염,1례병발경내동맥가성동맥류,1례병발경내동맥해면두루.결과:122예외상성시신경병환자다수반발안광골절、합면골절、안부급로뇌손상,소수반발전신기타부위손해.1례병발화농성뇌막염자경항생소치료전유;1례병발경내동맥가성동맥류자경개로수술후치유,차2례환자시력균유명현제고;1례병발경내동맥해면두루자사우돌발비강대출혈.결론:외상성시신경병유가능병발엄중적로내질환、안광골절、합면외상화내장급사지손상,응제고경척,진행유효방범화처리.
Objective:To investigate the complications of traumatic optic neuropathy and to call the surgeons' attention to precaution. Method:Retrospectively analysis of 122 cases patients with traumatic optic neuropathy and 3 cases were analyzed in detail including 1 case with purulent meningitis, another 1 case with internal carotid artery pseudoaneurysm and the other 1 case with internal carotid artery cavernous sinus fistula. Result:Most of the patients had the complications of orbital fracture, maxillofacial fracture, ocular and craniocerebral injury. A few of patients had other injuries all over the body. The case with purulent meningitis was cured with antibiotics. The case with internal carotid artery pseudoaneurysm was cured with neurosurgery. The visual acuity of the both cases were improved. The case with internal carotid artery cavernous sinus fistula died of severe hemorrhea. Conclusion: The patient with traumatic optic neuropathy has the possibility of severe cranial disorders,orbital fracture, maxillofacial fracture and injuries of viscera or limbs. It should be paid mare attention and treated accordingly.