容易误诊的儿童隐匿性角膜异物临床报告.doc

容易误诊的儿童隐匿性角膜异物临床报告.doc容易误诊的儿童隐匿性角膜异物临床报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摘要:口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。%,年龄5个月E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3cf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:2017-08-02EasilyMisdiagnosedChildrenwithConcealedCornealForeignBody:aCaseReportTIANHai-xiaWANGJian—cangSUMingJIANGJiaoGUOXi-tingLIULi—fangDepartmentofOphthalmology,Children'sHospitalofHebeiProvince:Abstract:ObjectiveToinvestigateclinicalfeatures,%inthisstudy,andpatients'-eye,andhadbeenmisdiagnosedashavingkeratitis,--eyerecurrentattacks,cornealirritation,carefulslitlampcxaminationandstaining,--eyesympt