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眼眶肿瘤相关知识

时间:2017-07-27 09:59 来源 jn2009may.com 点击:次

  YANKUANGZHONGLIUBINGBUSHIYIZHONGXINFENGHUANGJIANBING,YOUYUGEZHONGYUANYINYANKUANGNEIKEYIFASHENGZHONGLIU。ZAIZHONGLIUFASHENGDEZAOQIKEYIMEIXINFENGHUANGRENHEZHENGZHUANG。DANGZHONGLIUSHENGXINFENGHUANGDAOYIDINGTIJI,YAPOSHENJINGCHUXIANSHILIXIAJIANGHUOFASHENGYANQIUTUCHUDENGZHENGZHUANGSHI,CAIBEIBINGRENHUOXINFENGHUANGRENCHAJUE。XINFENGHUANGNIANRENYANKUANGZHONGLIUDUOSHUWEILIANGXING。ZHONGLIUDEZHILIAOFANGFAZHUYAOWEISHOUSHUZHAICHU。

  YANKUANGZHONGLIUYIBANFENWEILIANGXINGHEEXING。

  临床表现

  YANKUANGZHONGLIUYOUYUZHONGLEIDEBUTONG,KEYINQIGEZHONGBUTONGDELINCHUANGBIAOXIAN,ZHUYAODESHISHILIZHANGAIHEYANQIUTUCHU,QICIWEIYANQIUXINFENGHUANGZHANGAI,CIWAIHAIXINFENGHUANGYANBUTENGTONGHEFUSHIDENG。

  1 眼球突出

新凤凰   ZAIYANKUANGZHONGLIU,YANQIUTUCHUWEIJIAOXINFENGHUANGJIANDEZHENGZHUANG。YIBAN,YUANFAXINGYANKUANGZHONGLIUHENANGZHONGYINQIYICEYANQIUTUCHU。YIXIEJIFAYUQUANSHENJIBINGDEYANKUANGBINGBIAN,RUZHUANYILIU、LINBALIUHEXINFENGHUANGZHIXIBAOLIUBING,KEFASHENGLIANGCEYANQIUTUCHU。

  YANQIUTUCHUCHUXIANDENIANLINGSHIJIAN(XINSHENGER、ERTONG、XINFENGHUANGREN)HEBINGCHENGKUAIMANXINFENGHUANGZHENDUANYIYI。YANKUANGJITAILIUHEYIXIENANGZHONGJIMAOXIXUEGUANLIUKEZAICHUSHENGSHIBIAOXIANWEIQINGWEIDEHUOXIANZHUDEXIANTIANXINGYANQIUTUCHU。YANKUANGDELINBAGUANLIU、YOUNIANXINGXIANWEIXINGXINGXINGXIBAOLIUHEHENGWENJIROULIUYIBANZAIERTONGQICHUXIANYANQIUTUCHU。QITAYANKUANGZHONGLIURUGEZHONGLEIXIANLIU、ZHUANYILIU、HAIMIANZHUANGXUEGUANLIUHESHENJINGQIAOLIU,ZEDIANXINGDIZAIXINFENGHUANGRENQICHUXIAN。YANKUANGLINBALIUYIBANFASHENGYUXINFENGHUANGNIANREN,DANBurh‘SHILINBALIUWEIYITESHULIWAIERTONGXINFENGHUANGFASHENGYUERTONG。YANQIUTUCHUBINGCHENGDEKUAIMANYINFABINGYUANYINBUTONGERCHABIEHENDA。YIXIESHISHENJINGDESHENJINGXIANWEILIUHEYOUNIANXINGXIANWEIXINGXINGXINGXIBAOLIUKEXINFENGHUANGJINGZHIQUSHIHUOJINZHANHENMAN。QITARUHAIMIANZHUANGXUEGUANLIU、SHENJINGQIAOLIUHEGUHUAXINGXIANWEILIUZEBIAOXIANWEIHUANMANDEJINZHAN。EXINGZHONGLIURUHENGWENJIROULIU、ZHUANYIAIHEEXINGLEIXIANZHONGLIUXINFENGHUANGXUNSUJINZHAN。ZAIYIXIEZHENGLI,ZHONGLIUDEJINZHANKENENGTINGZHIBINGCHUXIANZIFADEXIAOTUI,YINGERDEMAOXIXUEGUANLIUXINFENGHUANGZHEIZHONGTEXING。

  BODONGXINGYANQIUTUCHUBIAOXIANWEIYANQIUCHENGYUXINBOXIANGYIZHIDEJIELVXINGBODONG,KEFASHENGYUBANXINFENGHUANGKUANGDINGGUQUESUNDEYANKUANGSHENJINGXIANWEILIU,YEOUERJIANYUYANKUANGJUDAMAOXIXUEGUANLIU,LIRUYANKUANGLINBAGUANLIUYUBINGRENHUANSHANGHUXIDAOGANRANSHIKESHIYUANXINFENGHUANGDEYANQIUTUCHUJIAZHONG,ERMAOXIXUEGUANLIUDANGHUANERKUSHIKESHIYANQIUTUCHUGENGWEIMINGXIAN。LINGYIZHONGJIANXIEXINGYANQIUTUCHUJIWEIZHIXINGYANQIUTUCHU,DANGBINGRENWANYAODITOU、FUWOWEIHUOZUOValsalvaSHISHIFASHI,YANQIUTUCHUJIJIAZHONG,WEIYANKUANGJINGMAIQUZHANGDETEZHENGBIAOXIAN。

新凤凰   YANQIUTUCHUDEFANGXIANGYEXINFENGHUANGYIDINGDEZHENDUANJIAZHI。ZHUYAOCHENGZHOUXINGFANGXIANGFASHENGDEYANQIUTUCHUTISHIWEISHISHENJINGDEZHONGLIU,HUOFASHENGYUJIZHUINEIRUANXINFENGHUANGZHIDEZHONGLIURUHAIMIANZHUANGXUEGUANLIU。FEIZHOUXINGDEYANQIUTUCHUWEIJIZHUIWAIHUOQIANBUYANKUANGBINGBIANRULEIXIANLIUHEZHANYENANGZHONGDETEZHENGXINGBIAOXIAN。YUYANQIUTUCHUDEFANGXIANGMIQIEXIANGGUANDESHIYANQIUYIWEI。YANQIUXIANGBUTONGFANGXIANGPIANXIESHICHENGWEIYANQIUYIWEI,YIWEIDEFANGXIANGYUZHONGLIUZAIYANKUANGNEIDEWEIZHIXINFENGHUANGGUAN。JIZHUINEIDEZHONGLIUSHIYANQIUXIANGQIANFANG(ZHOUXING)YIWEIBINGBANXINFENGHUANGYANQIUQINGDUXIANGXIAWAIFANGYIWEI。LEIXIANWODEZHONGLIUSHIYANQIUXIANGNEIXIAFANGYIWEI,ERSHAIDOUHUOSHANGHEDOUDEZHONGLIUFENBIESHIYANQIUXIANGWAICEHUOXIANGSHANGFANGYIWEI。ZHONGDUDEYANQIUTUCHUKEYIYIMULERAN,DANQITUCHUDECHENGDUXUYONGTUYANJICELIANGZHI。QINGDUDEYANQIUTUCHUYEXUYONGTUYANJIFAXIAN。

  2 视力丧失

新凤凰   SHILISANGSHI(SHILIJIANTUIYIZHISHIMING)KEJIANYUXUDUOYANKUANGJIBING,YEXINFENGHUANGSHIYANKUANGZHONGLIUDEXINFENGHUANGJIANERMINGXIANDEZHENGZHUANG。

  MANXINGDEHUANMANJINZHANDESHILISANGSHIKEJIANYUSHISHENJINGDEYUANFAXINGZHONGLIU,RUYOUNIANXINGXIANWEIXINGXINGXINGXIBAOLIUHENAOMOLIU。SHILIZHANGAIYEKEJIANYUQINFANSHISHENJINGDEYANKUANGZHONGLIU,TEBIESHIJINKUANGJIANCHUDEZHONGLIUHESHISHENJINGJIAOZHILIU。LIANGXINGDEHUANMANSHENGXINFENGHUANGDEYANKUANGZHONGLIU,RUHAIMIANZHUANGXUEGUANLIUHESHISHENJINGQIAOLIU,ZAIZAOQIBUYIYINQISHILIZHANGAI。XUDUOWUYANQIUTUCHUDEYANKUANGBINGBIANYEKEYINQISHILISANGSHI。ZHEIZHONGQINGKUANGXINFENGHUANGSHIZHENDUANFASHENGKUNNAN。SHAIDOUZHANYENANGZHONGKEYINQISHILIJIANTUI,XINFENGHUANGSHISHIJIXINGSHILISANGSHIERKENENGWUYANQIUTUCHU。SHISHENJINGGUANNEIDEWEIXIAONAOMOLIUKEYINQIJINXINGXINGDESHILIJIANTUI,XINFENGHUANGSHIZAIBINGCHENGJINZHANXINFENGHUANGHURANEHUAHUOSHIMING。HUANMANJINZHANDEWUTONGXINGSHILIMOHUSHIQIANBUSHILUSHOUYAPODEZAOQIXINHAO。ZHEIZHONGZHENGLIXINFENGHUANGLIANGGETEDIAN,JIHONGSESHIJUEZHANGAIHESHANGXINGXINGTONGKONGGONGNENGZHANGAI,TEBIESHISHILIHEYANDIZHENGXINFENGHUANGSHI,YEBUKEQINGYIHULVEHUOWUZHENWEIQUGUANGBUZHENG、ZAOQIBAINEIZHANGHUOQINGDUHUANGBANBINGBIAN,ERYINGJINXINGBIYAODEJIANCHA,BAOKUOCTSAOMIAO。YINQISHANGSHUZHENGZHUANGDEJIBINGBAOKUOKUANGNEIHUOKUANGHOUFANGDEZHONGLIU、YUANFAXINGKUANGGUBINGBIANHEGUGUANNEISHISHENJINGNAOMOLIUDENG。

  3 眼球新凤凰障碍和复视

新凤凰   YANKUANGZHONGLIUHUANZHEBANXINFENGHUANGYANQIUTUCHUSHIXINFENGHUANGSUFUSHIHEYANQIUXINFENGHUANGZHANGAI,QIYUANYINHUOSHISHENJINGXINGDE,HUOSHISHOUBINGBIANDEXINFENGHUANGZHISUOZHI。EXINGZHONGLIUKEJINRUNZHIPEIYANWAIJIDELUSHENJING,YINQISHENJINGXINGXINFENGHUANGZHANGAI,ERRENHELIANGXINGHUOEXINGZHONGLIUXINFENGHUANGKESHIYANQIUYIWEIERYINQIXINFENGHUANGZHIXINGXINFENGHUANGZHANGAI,BINGFASHENGFUSHI。TURANFASHENGDEXINFENGHUANGZHANGAIHEFUSHIKENENGSHIYANKUANGEXINGZHONGLIUDESHIFABIAOXIAN。KUANGSHANGLIEQUDEBINGBIANYEKEYINYAPOYANQIUXINFENGHUANGSHENJINGERYINQIFUSHIHEYANQIUXINFENGHUANGZHANGAI,QIEDUOBANXINFENGHUANGYANSHENJINGMABI,CHENGWEIKUANGSHANGLIEZONGHEZHENG。KUANGJIANCHUDEBINGBIANYINQIYANWAIJIMABIHEFUSHISHI,KEBUYINQIYANQIUTUCHU。XINFENGHUANGFUSHIZHEYINGZUOFUXIANGJIANCHAYIPANDUANMABIDEJIROU。

  4 疼痛

  XUDUOYANKUANGZHONGLIU,TEBIESHIEXINGZHONGLIUHUANZHESUYANBUTENGTONG。KUANGNEIYANZHENGYINQIZHONGDUDETENGTONG,YAPOYANQIUSHIXINFENGHUANGMINGXIANDEYATONG,DANYIBANBUCHUXIANYANSHENJINGFENBUQUDEMAMUHETONGJUEJIANTUI,ERKUANGSHANGLIEHUOKUANGJIANCHUDEZHONGLIUSUOYINQIDEYANBUTENGTONGDUOBANXINFENGHUANGYANSHENJINGDEZHANGAI。

  5 其他相关病史,症状和体征

  XINFENGHUANGXIANGGUANXINFENGHUANGZUBINGSHI:XINFENGHUANGZUBINGSHIZHUYAOYUYANKUANGZHONGLIUMIQIEXIANGGUAN。HUAIYIXINFENGHUANGSHISHENJINGYOUNIANXINGXIANWEIXINGXINGXINGXIBAOLIUZHE,KENENGXINFENGHUANGSHENJINGXIANWEILIUBINGDEXINFENGHUANGZUSHI。AIZHENGHEBAIXUEBINGOUERYEXINFENGHUANGXINFENGHUANGZUYINGXIANG;ERBIHOUXINFENGHUANGBINGSHIHEZHENGZHUANG:YOUYUXUDUOYANKUANGZHONGLIUHEYANZHENGJIFAYUBIDOU、BIQIANGHUOYUYANBU,GUYINGXUNWENXINFENGHUANGWUBIDOUQUYUTENGTONG、BISAI、BINVHEXINFENGHUANGGUANZHENGZHUANG,YIZHAOCHUXINFENGHUANGGUANZHEIXIEJIEGOUDEBINGSHI;NEIXINFENGHUANGBINGSHIHEZHENGZHUANG:XUNWENBINGRENDENEIXINFENGHUANGBINGSHIKEYINCHUXINFENGHUANGYONGDEZHENDUANYIJU。RUQUANSHENXINGLINBALIU,ZHONGDUTANGNIAOBINGSHI,ROUYANGLIUBING、JIEHEBINGHUOQITAROUYAZHONGXINGYANZHENGBINGSHIJISHIXINGRUXIANAI、FEIAIDENGSHOUSHUSHI;SHENJINGXINFENGHUANGBINGSHIHEZHENGZHUANG:YANBUTENGTONGBANXINFENGHUANGYANWAIJIMABIZHETISHIKUANGSHANGLIEXINFENGHUANGYANZHENGHUOZHONGLIU。KUANGSHANGLIEHEKUANGJIANZONGHEZHENGXINFENGHUANGMINGQUEDEDINGWEIJIAZHI。YANQIUTUCHUERXINFENGHUANGNIEYEDIANXIANFAZUOZHETISHIKENENGXINFENGHUANGDIEGUJINAOMOLIU。[1]

  ZHILIAOFANGFA

新凤凰   SHOUSHULIAOFA:SHIYONGYUZHONGLIUJUXINFENGHUANGERWULINBAJIEHUOYUANCHUZHUANYIZHE,KEGENJUZHONGLIUDEDAXIAO、FANWEI、QINFANSHENDULAIXUANZESHIDANGDEQIECHUFANGFA。

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