义乌热线编辑
发表于 2026-2-26 18:26:46
82岁老人在义乌确诊！以为是普通眼睛疼，没想到眼内被揪出…
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="line-height: 2; letter-spacing: 2px; box-sizing: border-box; font-style: normal; text-align: justify;"><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><p style="font-weight: 400; color: #664342; font-size: 15px; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">原标题：以为是普通眼睛疼，没想到竟是癌症！八旬老人眼内隐藏肿瘤被揪出</p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: #fff2db; padding: 24px 25px; box-sizing: border-box;"><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">近日，义乌市中心医院眼科接诊了一位82岁的老年患者，因反复眼痛伴随头痛辗转多家医院检查，却一直未能明确病因。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-radius: 50px; overflow: hidden; background-color: #e63715; padding: 12px 15px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">眼痛头痛40余天，层层检查锁定“真凶”</strong></p></section></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-weight: 400; color: #664342;">据陈爷爷的儿子回忆，老人大概在去年六月份出现了</span><span style="color: #fa5359; font-weight: bold;">左眼疼痛、头痛</span><span style="font-weight: 400; color: #664342;">的症状，但发作频率不高，家人也就没太在意。直到四十天前，陈爷爷再次出现相关症状且没有缓解，家人带着他前往不同医院就医，但眼表检查始终没有发现明显问题。</span></p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012810136340606.jpeg" /></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经朋友介绍，陈爷爷跟随家人来到义乌市中心医院，找到眼科首席专家刘惠娟主任医师。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/1772101282432728649.jpeg" /></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经专科检查，刘惠娟发现陈爷爷左眼下方结膜充血、肥厚、隆起、表面凹凸不平，上面的血管明显增粗、充血，旁边的角膜边缘变形、发白。进一步检查显示，左眼视力仅0.25，且无法通过佩戴眼镜矫正，眼压也比正常值偏低。这些异常迹象都提示，问题可能不仅仅是表面炎症那么简单。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">刘惠娟凭借多年临床经验，察觉到疼痛可能与眼球深部结构有关，决定拓宽检查思路。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; margin: 10px 0%; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: 50%; padding: 0px 5px 0px 0px; align-self: center; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012838708574062.jpeg" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: 50%; padding: 0px 0px 0px 5px; align-self: center; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/1772101285271481507.jpeg" /></section></section></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">果然B超探查发现了端倪，左眼球壁下段有低回声结节，排查重点从眼表引向了眼球深处，增强CT提供了更精细明确的图像。综合临床表现和影像学结果，刘惠娟初步诊断为“结膜肿物”，并高度怀疑已侵犯眼球内部，随即安排陈爷爷住院治疗。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">入院后，为了明确肿物的性质，刘惠娟在局部麻醉下为陈爷爷进行了左眼球结膜肿物组织活检。术中发现，部分肿物已经累及了巩膜（眼白的深层坚韧组织）。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">最终的病理诊断结果证实为（左眼结膜）鳞状细胞癌（中分化）。这是一种起源于结膜上皮层的恶性肿瘤，且癌细胞已经侵犯了角膜、巩膜、脉络膜、睫状体及虹膜等多个重要眼部结构。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: #795a5b; padding: 24px 25px; box-sizing: border-box;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: flex-end; margin: 0px -10px 0px 0px; box-sizing: border-box;"></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; background-color: #ffe39a; min-width: 5%; max-width: 100%; height: auto; padding: 8px 18px; box-sizing: border-box;"><section style="text-align: justify; color: #ea4326; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">什么是结膜鳞状细胞癌？</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px 0px 0px -10px; align-self: flex-start; box-sizing: border-box;"></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012866305127743.jpeg" /></section></section><section style="text-align: justify; color: #ffffff; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">结膜鳞状细胞癌是一种临床上相对常见的眼部恶性肿瘤，但总体发病率不高。其发生与长期紫外线照射、人乳头状瘤病毒（HPV）感染、HIV病毒感染以及某些遗传性疾病（如着色性干皮病）等因素有关。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">· 好发人群：多见于50-70岁以上的老年人，男性发病率略高于女性。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">· 好发部位：最容易发生在睑裂部位的球结膜（即我们平时睁眼时暴露在外的“眼白”部分），特别是黑眼珠（角膜）边缘处。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">· 疾病特点：早期生长缓慢，外观可能类似于常见的“翼状胬肉”或角膜白斑，容易被误诊为一般的结膜炎或变性性疾病，导致延误治疗。分化较差的肿瘤则生长较快，可能呈现为菜花样、表面凹凸不平的隆起，周围血管常明显增粗、充血。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">· 常见症状：患者常有眼部异物感、刺痛、畏光、流泪等不适。如果肿瘤侵犯角膜或向深处生长，会导致视力下降和持续性疼痛，并可放射至头部。</p></section></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="font-weight: 400; color: #664342; font-size: 15px; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">由于陈爷爷的肿瘤组织己经在眶内眼下直肌和外直肌邻近组织侵润转移，并有向眶外扩散的风险，全身检查已排除淋巴、头颅、胸部及腹部的远处转移，为了彻底清除肿瘤组织，防止扩散和转移，经与患者及家属充分沟通后，眼科团队决定实施左侧眼眶内容物摘除术。</p><p style="font-weight: 400; color: #664342; font-size: 15px; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-weight: 400; color: #664342; font-size: 15px;"><section style="display: inline-block;"><img style="height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012881584791007.jpeg" /></section></section><section style="font-weight: 400; text-align: center;"><section style="display: inline-block;">病理切面</section></section><p style="font-weight: 400; text-align: center; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #664342; font-size: 15px; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">手术过程顺利，送检病理报告显示切除边缘均未发现癌细胞，达到了根治性切除的目标，这意味着肿瘤被完整清除。陈爷爷康复出院，需要定期前往放疗科随访。</p><p style="font-size: 15px; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-weight: bold; color: #fa5359;">“这个患者拖得太久了，因肿瘤丧失了眼球造成永久性失明，颜面部眼眶缺失毁容。”</span><span style="font-weight: 400; color: #664342; text-indent: 2.2667em;">刘惠娟表示，结膜鳞状细胞癌早期发现、规范治疗，预后通常是良好的。对于局限的、早期的肿瘤，完全可以通过手术完整切除并保留眼球功能。</span><span style="font-weight: 400; text-indent: 2.2667em; color: #fa5359; text-decoration: underline;">关键在于提高警惕，第一时间寻求专业诊疗，并在医生指导下完成必要的全面检查。</span></p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-radius: 50px; overflow: hidden; background-color: #e63715; padding: 12px 15px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">眼痛查因，有时需要“看得更深”</strong></p></section></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012896187396790.jpeg" /></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">陈爷爷的病例给予了重要警示。眼部持续不适，切勿掉以轻心，尤其是对于中老年人出现的持续性眼痛、头痛、视力下降、眼红或眼表新生物，不能简单归咎于“上火”“疲劳”“发炎”，应尽早到正规医院眼科进行系统检查。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">排查眼病，检查手段需全面，有些眼部疾病的根源不在表面，而在眼球内部或眼眶，当常规检查无法解释症状时，眼部B超、眼眶CT或磁共振（MRI）等影像学检查是揭开谜底的关键工具。它们能帮助医生“透视”眼球，发现隐藏在深处的病变。</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012909589892707.jpeg" /></section></section></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: flex-end; margin: 0px -10px 0px 0px; box-sizing: border-box;"></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; background-color: #ffe39a; min-width: 5%; max-width: 100%; height: auto; padding: 8px 18px; box-sizing: border-box;"><section style="text-align: justify; color: #ea4326; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">眼科专家</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px 0px 0px -10px; align-self: flex-start; box-sizing: border-box;"></section></section><section style="font-weight: 400; color: #664342; font-size: 15px; margin: 10px 0%; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: 50%; padding: 0px 5px 0px 0px; align-self: center; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260226/17721012923423967842.jpeg" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: 50%; padding: 0px 0px 0px 5px; 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padding: 0px; box-sizing: border-box;"><span style="letter-spacing: 0px; box-sizing: border-box;">文/图/编辑：宣传统战部 杨昊婕</span></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;">校审：刘惠娟、应志翔、骆高健</p></section><section style="font-weight: 400; color: #664342; font-size: 15px; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section></section><p style="display: none;"> </p> <!----></div>
sasa118
发表于 2026-2-26 19:59:50
好医生值得点赞！
早是
发表于 2026-2-26 20:00:43
医术精湛！
李树
发表于 2026-2-26 20:02:08
路过
我管你
发表于 2026-2-26 20:06:50
注意
黄大贝
发表于 2026-2-26 20:07:18
路过
建言
发表于 2026-2-26 20:11:44
真的是
信誉
发表于 2026-2-26 20:12:09
你那副
黄小贝
发表于 2026-2-26 20:12:26
上次去中心医院某个专家配得药差得过去
萧岩山人
发表于 2026-2-26 20:12:36
好好