中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
6期
446-448
,共3页
青光眼,原发性,闭角型,急性%误诊
青光眼,原髮性,閉角型,急性%誤診
청광안,원발성,폐각형,급성%오진
Glaucoma,primary,angle closure,acute%Misdiagnosis
目的 探讨原发性急性闭角型青光眼误诊原因及防止误诊的对策.方法 回顾性研究,对首诊于其他科室的原发性急性闭角型青光眼误诊为其他疾病的38例(38眼)原因进行分析,研究防止类似情况发生的对策.结果 38眼中误诊为高血压脑病13例,腔隙性脑梗死11例,偏头痛5例,神经性头痛7例,胃肠疾病2例.经眼科会诊确诊后转眼科,行抗青光眼手术治疗.治疗后视力:无光感4眼,光感3眼,数指者7眼,0.05～0.08者8眼,0.1～0.2者11眼,0.3 ～0.5者5眼.误诊时间越长,视力受损害严重.结论 首诊于其他科室的急性闭角型青光眼患者,而且合并有全身症状的,容易误诊.青光眼医师有责任为各科医师及患者普及原发性急性闭角型青光眼知识,以减少误诊.
目的 探討原髮性急性閉角型青光眼誤診原因及防止誤診的對策.方法 迴顧性研究,對首診于其他科室的原髮性急性閉角型青光眼誤診為其他疾病的38例(38眼)原因進行分析,研究防止類似情況髮生的對策.結果 38眼中誤診為高血壓腦病13例,腔隙性腦梗死11例,偏頭痛5例,神經性頭痛7例,胃腸疾病2例.經眼科會診確診後轉眼科,行抗青光眼手術治療.治療後視力:無光感4眼,光感3眼,數指者7眼,0.05～0.08者8眼,0.1～0.2者11眼,0.3 ～0.5者5眼.誤診時間越長,視力受損害嚴重.結論 首診于其他科室的急性閉角型青光眼患者,而且閤併有全身癥狀的,容易誤診.青光眼醫師有責任為各科醫師及患者普及原髮性急性閉角型青光眼知識,以減少誤診.
목적 탐토원발성급성폐각형청광안오진원인급방지오진적대책.방법 회고성연구,대수진우기타과실적원발성급성폐각형청광안오진위기타질병적38례(38안)원인진행분석,연구방지유사정황발생적대책.결과 38안중오진위고혈압뇌병13례,강극성뇌경사11례,편두통5례,신경성두통7례,위장질병2례.경안과회진학진후전안과,행항청광안수술치료.치료후시력:무광감4안,광감3안,수지자7안,0.05～0.08자8안,0.1～0.2자11안,0.3 ～0.5자5안.오진시간월장,시력수손해엄중.결론 수진우기타과실적급성폐각형청광안환자,이차합병유전신증상적,용역오진.청광안의사유책임위각과의사급환자보급원발성급성폐각형청광안지식,이감소오진.
Objective To explore the causes and preventive measures for misdiagnosed primary acute angle closure glaucoma(PAACG).Methods In this retrospective analyses,the causes of 38 cases of misdiagnosed PAACG were analyzed who first visited other departments and were diagnosed as other diseases.The preventive measures of misdiagnosis were concluded.Results Of 38 cases,misdiagnoses included hypertensive encephalopathy in 13 cases,lacunar infarction in 11 cases,migraine in 5 cases,nerveous headache in 7 cases and gastrointestinal diseases in 2 cases.All cases were transferred to ophthalmology department after consultation and underwent antiglaucoma surgeries.After treatment,the patients' visual acuities were at non-light perception in 4 eyes,light perception in 3 eyes,counting fingers in 7 eyes,O.05 ～0.08 in 8 eyes,0.1 ～ 0.2 in 11 eyes and 0.3 ～ 0.5 in 5 eyes.The longer misdiagnoses lasted,the severer visual impairment became.Conclusion PAACG without systemic symptoms and first visit other department except ophthalmology department will easily to be misdiagnosed.To avoid misdiagnosis,it is glaucoma specialist' s responsibility to promote PAACG education for doctors and patients.
