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一例儿童特发性炎性假瘤,因自发性球后出血而引起急性疼痛、眼球突出、呕吐及视力丧失。患儿,男,4岁,左眼球突出及其周围肿胀已1周,有显著的限周围炎性症状及眼球运动障碍。化验检查:白细胞11700/mm~3,淋巴52%,嗜伊红8%,CT扫描显示眼外肌肥大,后部巩膜增厚。临床诊断为特发性炎性假瘤,给予强的松30mg/天治疗有显著疗效,于48小时内症状完全消退,试图减少强的松剂量时,症状又复发。发病后4个月,当每天口服强的松4mg时,患儿突然并发急性球后出
One case of idiopathic inflammatory pseudotumor in children caused acute pain, prominent eyeballs, vomiting and loss of vision due to spontaneous posterior bulbar hemorrhage. Children, male, 4 years old, prominent left eyeball and swelling around it for 1 week, there are significant limitations around the inflammatory symptoms and eye movement disorders. Laboratory tests: leukocyte 11700 / mm ~ 3, lymphatic 52%, eosinophil 8%, CT scan showed extraocular muscle hypertrophy, posterior scleral thickening. Clinical diagnosis of idiopathic inflammatory pseudotumor, give prednisone 30mg / day treatment has a significant effect, within 48 hours of symptoms completely subsided, trying to reduce the dose of prednisone, the symptoms recurred. 4 months after onset, when oral oral prednisone 4mg, children suddenly complicated by acute ball after the