医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
12期
2385-2386,2387
,共3页
结核,脑膜/并发症%眼疾病/病因学%视野%复视
結覈,腦膜/併髮癥%眼疾病/病因學%視野%複視
결핵,뇌막/병발증%안질병/병인학%시야%복시
Tuberculosis,Meningeal/CO%Eye Diseases/ET%Visual Fields%Diplopia
目的探讨结核性脑膜炎继发眼部并发症的常见类型及对视功能的影响。方法2008年8月至2012年5月在本院结核病研究所确诊结核性脑膜炎住院患者，因继发眼部并发症来眼科会诊132例，男73例，女59例，平均年龄28.3(11~58)岁。了解眼部并发症的种类以及对视功能的影响。结果132例结核性脑膜炎患者中继发眼外肌麻痹24例(18.2%)、虹膜睫状体炎20例(15.2%)、全葡萄膜炎17例(12.9%)、视盘水肿18例(13.6%)、视神经萎缩14例(10.6%)、黄斑水肿28例(21.2%)、白内障11例(8.3%)；132例结核性脑膜炎患者中出现复视24例(18.1%)、视力下降103例(78%)、虹膜粘连26例(19.7)、玻璃体混浊29例(22%)、视野异常75例(56.8%)。结论结核性脑膜炎的眼部并发症不容忽视，当患者脱离了生命危险，处于逐渐恢复期时，眼部并发症造成的损害就突显出来。视野异常、视功能障碍、复视等会严重影响患者生存质量。
目的探討結覈性腦膜炎繼髮眼部併髮癥的常見類型及對視功能的影響。方法2008年8月至2012年5月在本院結覈病研究所確診結覈性腦膜炎住院患者，因繼髮眼部併髮癥來眼科會診132例，男73例，女59例，平均年齡28.3(11~58)歲。瞭解眼部併髮癥的種類以及對視功能的影響。結果132例結覈性腦膜炎患者中繼髮眼外肌痳痺24例(18.2%)、虹膜睫狀體炎20例(15.2%)、全葡萄膜炎17例(12.9%)、視盤水腫18例(13.6%)、視神經萎縮14例(10.6%)、黃斑水腫28例(21.2%)、白內障11例(8.3%)；132例結覈性腦膜炎患者中齣現複視24例(18.1%)、視力下降103例(78%)、虹膜粘連26例(19.7)、玻璃體混濁29例(22%)、視野異常75例(56.8%)。結論結覈性腦膜炎的眼部併髮癥不容忽視，噹患者脫離瞭生命危險，處于逐漸恢複期時，眼部併髮癥造成的損害就突顯齣來。視野異常、視功能障礙、複視等會嚴重影響患者生存質量。
목적탐토결핵성뇌막염계발안부병발증적상견류형급대시공능적영향。방법2008년8월지2012년5월재본원결핵병연구소학진결핵성뇌막염주원환자，인계발안부병발증래안과회진132례，남73례，녀59례，평균년령28.3(11~58)세。료해안부병발증적충류이급대시공능적영향。결과132례결핵성뇌막염환자중계발안외기마비24례(18.2%)、홍막첩상체염20례(15.2%)、전포도막염17례(12.9%)、시반수종18례(13.6%)、시신경위축14례(10.6%)、황반수종28례(21.2%)、백내장11례(8.3%)；132례결핵성뇌막염환자중출현복시24례(18.1%)、시력하강103례(78%)、홍막점련26례(19.7)、파리체혼탁29례(22%)、시야이상75례(56.8%)。결론결핵성뇌막염적안부병발증불용홀시，당환자탈리료생명위험，처우축점회복기시，안부병발증조성적손해취돌현출래。시야이상、시공능장애、복시등회엄중영향환자생존질량。
Obj ective]To explore the common eye complications secondary to tuberculous meningitis and their effect on visual function.[Methods]The patients were chosen from the inpatients diagnosed as tubercu-lous meningitis in our institute for tuberculosis from Aug.2008 to May 2012.Among 132 patients with eye complications secondary to tuberculous meningitis,73 patients were male and 59 patients were female.Their average age was 28.3 years old(11~58 years old).The types of eye complications and their effect on visual function were discussed.[Results]Of 132 patients with tuberculous meningitis,24 patients had secondary ex-traocular palsy(18.2%),and 20 patients had iridocyclitis(15.2%),and 17 patients had panuveitis(12.9%), and 18 patients had papilledema(13.6%),and 14 patients had optic atrophy(10.6%),and 28 patients had macular edema(21.2%),and 11 patients had cataract(8.3%).Among all the patients,diplopia,impaired vi-sion,synechia,vitreous opacities and abnormal visual field occurred in 24 patients(18.1%),103 patients (78%),26 patients(19.7%),29 patients(22%)and 75 patients(56.8%),respectively.[Conclusion]Eye complications secondary to tuberculous meningitis should not be ignored.When patients are broken away from critical condition and recovered gradually,the damage induced by eye complications becomes apparent.Abnor-mal visual field,visual impairment and diplopia will seriously affect the quality of life in patients.
