复杂临床病例—眼科医生实践中的人为性皮炎

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详细

非自杀性自残发生在所有专业的医生实践中。本文将介绍一名接受手术治疗的人为性皮炎和眼睑闭合不全患者的临床病例。

作者简介

Vitalii V. Potemkin

Pavlov First St. Petersburg State Medical University; City Multidiscipline Hospital No. 2

Email: potem@inbox.ru
ORCID iD: 0000-0001-7807-9036
SPIN 代码: 3132-9163

Cand. Sci. (Med.), Head of the Microsurgical Department (eyes) No. 5

俄罗斯联邦, 6-8, L’va Tolstogo st., Saint Petersburg, 197022; Saint Petersburg

Olga A. Marchenko

City Multidiscipline Hospital No. 2

Email: oamarchenko@yandex.ru

Ophthalmologist

俄罗斯联邦, Saint Petersburg

Elena V. Goltsman

City Multidiscipline Hospital No. 2

Email: ageeva_elena@inbox.ru
ORCID iD: 0000-0002-2568-9305

Ophthalmologist

俄罗斯联邦, Saint Petersburg

Liliya K. Anikina

Pavlov First St. Petersburg State Medical University

Email: lily-sai@yandex.ru
ORCID iD: 0000-0001-8794-0457

Postgradeate student

俄罗斯联邦, 6-8, L’va Tolstogo st., Saint Petersburg, 197022

Ekaterina K. Gladysheva

Pavlov First St. Petersburg State Medical University

编辑信件的主要联系方式.
Email: gladysheva.e.k@ya.ru
ORCID iD: 0000-0001-9186-0994

Resident of the Department of Ophthalmology

俄罗斯联邦, 6-8, L’va Tolstogo st., Saint Petersburg, 197022

参考

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  6. Stannard K, Leonard T, Holder G, Shilling J. Oedipism reviewed: a case of bilateral ocular self-mutilation. Br J Ophthalmol. 1984;68(4):276–280. doi: 10.1136/bjo.68.4.276
  7. Tapper CM, Bland RC, Danyluk L. Self-inflicted eye injuries and self-inflicted blindness. J Nerv Ment Dis. 1979;167(5):311–314. doi: 10.1097/00005053-197905000-00008
  8. Lasky JB, Epley KD, Karesh JW. Household objects as a cause of self-inflicted orbital apex syndrome. J Trauma. 1997;42(3):555–558. doi: 10.1097/00005373-199703000-00030
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  14. Kennedy BL, Feldmann TB. Self-inflicted eye injuries: case presentations and a literature review. Hosp Community Psychiatry. 1994;45(5):470–474. doi: 10.1176/ps.45.5.470
  15. Chern KC, Meisler DM, Wilhelmus KR, et al. Corneal anesthetic abuse and Candida keratitis. Ophthalmology. 1996;103(1):37–40. doi: 10.1016/s0161-6420(96)30735-5
  16. Brown R, al-Bachari MA, Kambhampati KK. Self-inflicted eye injuries. Br J Ophthalmol. 1991;75(8):496–498. doi: 10.1136/bjo.75.8.496
  17. Ashkenazi I, Shahar E, Brand N, et al. Self-inflicted ocular mutilation in the pediatric age group. Acta Paediatr. 1992;81(8):649–651. doi: 10.1111/j.1651-2227.1992.tb12323.x
  18. Noel LP, Clarke WN. Self-inflicted ocular injuries in children. Am J Ophthalmol. 1982;94(5):630–633. doi: 10.1016/0002-9394(82)90008-3
  19. Stinnett JL, Hollender MH. Compulsive self-mutilation. J Nerv Ment Dis. 1970;150(5):371–375. doi: 10.1097/00005053-197005000-00005
  20. Blackmon DM, Calvert HM, Henry PM, Westfall CT. Bacillus cereus endophthalmitis secondary to self-inflicted periocular injection. Arch Ophthalmol. 2000;118(11):1585–1586. doi: 10.1001/archopht.118.11.1585
  21. Grebenyuk VN. Patomimii (obzor literatury). Vestnik dermatologii. 1977;(9):28–32. (In Russ.)

补充文件

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2. 图.1. 手术治疗前的伤口外观，伤口底部由肉芽组织组成，边缘有深袋，眼睑闭合不全3毫米 Fig. 1. Appearance of the wound before surgery, granulation tissue in the wound bed, profound pockets at the edges, incomplete eyelid closure (3 mm)

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3. 图.2. 多处移植皮瓣，疤痕性鼻梁畸形 Fig. 2. Multiple transplanted skin flaps, cicatricial deformity of the bridge of the nose

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4. 图3. 眼眶的螺旋计算机断层扫描：a,b—右侧上眼睑区域的气泡Fig. 3. Spiral computed tomogram of orbits. a, b – air bubble at the right of the upper eyelid area

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5. 图4. 手术步骤：清理并修整伤口边缘（a），清除底部和边缘的肉芽组织（b，c）Fig. 4. Stages of surgery: renewal of the wound edges (a) and removal of granulation tissue from the bottom and from the edges (b, c)

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6. 图5. 手术步骤。耳后：移除植皮（a），止血（b），伤口用结节缝合（c）Fig. 5. Stages of surgery. Behind-the-ear area: skin graft is removed (a), hemostasis (b), wound sutured with interrupted sutures (c)

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7. 图.6. 用游离皮瓣闭合缺损（a），用结节和连续缝合固定（b） Fig. 6. Defect closure with a free skin flap (a), fixation with interrupted and running sutures (b)

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8. 图7. 术后一个月的伤口外观Fig. 7. Appearance of the wound. One month after surgery

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9. 图8. 重复手术治疗：a—清除肉芽组织，清理并修整伤口边缘；b—从耳后取皮瓣；c—固定皮瓣Fig. 8. Repeated surgical treatment: a – removal of granulation tissue and renewal of the wound edges; b – taking a skin flap from the behind-the-ear area; c – fixation of the skin flap

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版权所有 © Potemkin V., Marchenko O., Goltsman E., Anikina L., Gladysheva E., 2021

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此作品已接受知识共享署名 4.0国际许可协议的许可
 


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