目的 报告首诊眼科的外伤性海绵窦动静脉瘻2例。方法 回顾性探讨其在眼科的诊断依据及特徵。结果 首诊眼科的特徵:单侧眼球突出、视力减退、自闻头内有连续不断的轰轰声。眼睑有浮肿感,球结膜血管扩张迁曲,视网膜静脉怒胀,搏动性眼球突出,眼肌麻痹等。触诊有搏动感,听诊中闻到血管杂音。後经X线摄片,脑血管造影及CT检查确认,外科治疗效果很好。结论 依据眼科特徵性表现,外伤性海绵窦动静脉瘻在眼科可以明确诊断。 Objective To report 2 cases of traumatic cavernous sinus arteriovenous fistula in the first ophthalmology department. Methods Retrospectively explore its diagnostic basis and characteristics in ophthalmology. Results The characteristics of the first diagnosis of ophthalmology: unilateral eyeballs, vision loss, since the head has a continuous continuous boom. Eyelid edema, bulbar conjunctival vascular dilatation and migration, retinal vein inflamation, pulsatile eyeballs, ophthalmoplegia and so on. Palpation have a sense of stroke, auscultation sighs. After X-ray, cerebral angiography and CT examination confirmed that surgical treatment is very good. Conclusion According to the characteristic of ophthalmology, traumatic cavernous arteriovenous fistula can be diagnosed in ophthalmology.