原发性急性闭角型青光眼内科误诊44例分析
急性闭角型青光眼;内科;诊断,,],急性闭角型青光眼;内科;诊断,1资料与方法,2结果,3讨论,[参考文献]
原发性急性闭角型青光眼内科误诊44例分析 (pdf)[摘要] 目的 分析急性闭角型青光眼临床特点、误诊的原因及预后。 方法 对2000年4月~2005年10月44例误诊的急性闭角型青光眼病例的临床资料进行回顾性分析。明确诊断后立即行解除瞳孔阻滞、降低眼压等治疗措施。结果 44例中误诊为偏头痛14例，胃肠炎6例，感冒4例,高血压19例，脑梗死1例。44例均行抗青光眼手术。 结论 对本病认识水平不足是本组病例误诊的主要原因，提高疾病认识、详细询问病史和重视眼部检查是避免误诊的关键。高眼压持续时间越长,视功能损害越重。
[关键词] 急性闭角型青光眼;内科;诊断
Clinical analysis of 44 misdiagnosed primary acute angleclosure glaucoma in department of internal medicine
MING Ping, ZENG Liuzhi, ZHOU Bin.Ophthalmological Department, The Ninth Peoples Hospital of Chongqing,Chongqing 400700,China
[Abstract] Objective To analyze the causes and the prognosis of misdiagnosed primary acute angleclosure glaucoma as well as its clinical manifestation.Methods By reviewing, analyzing the clinical materials of 44 misdiagnosed cases(45 eyes)of primary acute angleclosure glaucoma in our hospital from April of 2000 to October of 2005.Results The results revealed that, of the 44 cases, 14 cases were misdiagnosed as splitting headache, 6 case digestive tract illness, 4 case flu, 19 case hypertension and 1 case cerebral infarction, and that all of the 44 cases underwent operations. Conclusion The main cause of the misdiagnosis is that this disorder has not been completely realized, and the key to avoid misdiagnosis is to enhance the ability of diagnosis, enquire the history of disease carefully and attach importance to examination of eyes.The longer the time of high intraocular pressure is,the more severe the impairment of visual function is. ......
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