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作者报告了32年仅有的一例颅骨外伤后导致眶上裂综合症的临床治疗及予后。眶上裂由蝶骨大翼和蝶骨小翼组成,其前外部份位于眶顶和眶外侧壁之间,后内部份构成眶顶与颅中凹相接,后部末端联于眶下裂,眍上裂内有动眼神经、滑车神经及三叉神经第一枝和外展神经,因此临床骨折后由于其内容物受压发生的症状称眶上裂综合症,其表现如下: (一) 上睑下垂。 (二) 眼球完全固定且轻度外突。 (三) 睫状肌麻痹致调节功能瘫痪瞳孔固定扩大。 (四) 三叉神经第一枝支配区角膜上睑鼻梁前额麻木。归纳发病原因有三种,外伤炎症和肿瘤,Lakkc复习了有关文献,仅1858年HirschFE-
The authors report the only case of craniocerebral injury in 32 years leading to clinical treatment and prognosis of superior orbital fissure syndrome. The superior orbital fissure is composed of the sphenoid wing and the sphenoid wing. The anterior part of the superior orbital fissure is located between the orbital roof and the lateral wall of the orbital wall. Lower septum, suprasellar cleft within the oculomotor nerve, trochlear nerve and trigeminal nerve branches and abducens, so clinical fractures due to the contents of the compression of the symptoms known as supraorbital fissure syndrome, its performance is as follows: ( A) ptosis. (B) the eye is completely fixed and slightly protruded. (C) ciliary muscle paralysis caused by the adjustment function Pupillary fixed expansion. (D) the first triad triad dominant corneal upper left frontal blepharophimmune numbness. There are three causes of induction, traumatic inflammation and cancer, Lakkc reviewed the literature, only 1858 HirschFE-