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临床上常用Hertel突眼计测量眼球突出度,测得的结果有助于对眼眶疾病的诊断。操作时要注意将突眼计的脚板放在双侧眶缘以得出准确的数值。Graves眼病患者有眶周围组织水肿,要想将突眼计脚板放在正确位置就必需给与向后的压力。作者在本文中报告一例测量时出现的并发症。 一名54岁妇女,患有4级Graves眼病,是随访4年的门诊病人,她连续服用抗甲状腺药物,(甲亢平40mg、甲状腺素0.1mg/d)达13个月。
The clinical Hertel exophthalmia commonly used to measure the degree of eyeball protrusion, the measured results contribute to the diagnosis of orbital diseases. Operation should pay attention to the extinction of the foot plate on both sides of the orbital margin to obtain the exact value. Patients with Graves ophthalmopathy have periorbital tissue edema, which must be pressured rearward if they are to be placed in the correct position. The authors report an example of complications during measurement. A 54-year-old woman with grade 4 Graves eye disease was an outpatient with a 4-year follow-up. She took anti-thyroid drugs continuously for 10 months (hyperthyroidism 40 mg, thyroxine 0.1 mg / d) for 13 months.