容易误诊的儿童隐匿性角膜异物临床报告.docVIP

容易误诊的儿童隐匿性角膜异物临床报告 田海霞 王建仓 苏鸣 姜娇 郭熙婷 刘丽芳 河北省儿童医院眼科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨儿童隐匿性角膜异物的临床特点及误诊原因、防范措施。方法 对曾误诊的儿童隐匿性角膜异物8例的临床资料进行回顾性分析。结果 本组误诊率17.8%, 年龄5个月16岁, 皆有反复眼红表现, 均曾误诊为角膜炎, 给予相应治疗效果不佳。误诊时间3 d2个月。入我院后根据眼红反复发作、角膜刺激症状及详细裂隙灯检查并荧光素染色后确诊为隐匿性角膜异物, 均行角膜异物取出术, 术后恢复良好。门诊复查2个月, 均未再出现眼红。结论 隐匿性角膜异物易误诊。临床接诊眼红反复发作、畏光、流泪、异物感或眼科检查角膜炎症浸润、溃疡混浊、透明度局部下降且久治不愈者应警惕隐匿性角膜异物。 关键词： 眼异物; 儿童; 误诊; 角膜炎; 收稿日期：2017-08-02 Easily Misdiagnosed Children with Concealed Corneal Foreign Body:a Case Report TIAN Hai-xia WANG Jian-cang SU Ming JIANG Jiao GUO Xi-ting LIU Li-fang Department of Ophthalmology, Childrens Hospital of Hebei Province; Abstract： Objective To investigate clinical features, misdiagnosed causes and preventive measures of children with concealed corneal foreign body. Methods Clinical data for 8 misdiagnosed children with concealed corneal foreign body was retrospectively analyzed. Results The misdiagnosed rate was 17. 8% in this study, and patients age range from 5 months to16 years old. All children had repeatedly red-eye, and had been misdiagnosed as having keratitis, but the effects were poor by corresponding treatments. Misdiagnosed time was 3 d-2 months. Concealed corneal foreign body was confirmed by red-eye recurrent attacks, corneal irritation, careful slit lamp examination and staining, and foreign body was removed. The children recovered well after the surgery without red-eye symptom during 2 months of review. Conclusion Concealed corneal foreign body is easy to be misdiagnosed. The patients should be highly suspected as having concealed corneal foreign body with symptoms of repeatedly red-eye symptom, photophobia, lacrimation, foreign body sensation or with corneal inflammatory infiltration, ulcer turbidity, local opacity in eye examinations and long-term incurability. Keyword： Eye foreign bodies; Child; Misdiagnosis; Keratitis; Received： 2017-08-02 角膜异物是一种临床常见的眼科疾病, 如果不能够及时治疗, 愈合延迟, 会引起患者诸多不适症状, 可以造