CAJ | 학술논문

目的：讨论血管造影和/或介入治疗术后皮质盲的病因、诊断、治疗和预防措施。方法回顾性分析我科5965例脑血管介入诊疗患者中，以皮质盲为主要表现的4例患者的病史、检查过程、术后症状表现、治疗方法、相关辅助检查资料、治疗结果。结果患者神经眼科检查未见异常，颅脑CT均未见明显颅内埂塞和出血表现。经过扩容、缓解血管痉挛、改善脑灌注压、稳定血脑屏障、神经营养、改善脑代谢、清除自由基以及心理疏导等对症治疗，4例患者皮质盲在11天内完全恢复，随访3个月未见相关并发症。结论数字减影血管造影术（ DSA）术后皮质盲是少见并发症，但经过对症处理，多数预后良好；工作中应提高认识，降低发生率。
목적：토론혈관조영화/혹개입치료술후피질맹적병인、진단、치료화예방조시。방법회고성분석아과5965례뇌혈관개입진료환자중，이피질맹위주요표현적4례환자적병사、검사과정、술후증상표현、치료방법、상관보조검사자료、치료결과。결과환자신경안과검사미견이상，로뇌CT균미견명현로내경새화출혈표현。경과확용、완해혈관경련、개선뇌관주압、은정혈뇌병장、신경영양、개선뇌대사、청제자유기이급심리소도등대증치료，4례환자피질맹재11천내완전회복，수방3개월미견상관병발증。결론수자감영혈관조영술（ DSA）술후피질맹시소견병발증，단경과대증처리，다수예후량호；공작중응제고인식，강저발생솔。
Objective:To analyze the pathogeny of the cortical blindness caused by cerebral angiography. Methods:The analysis was made of the clinical data of the 4 case of postoperative cortical blindness from 5965 cases of the cerebral angi-ography during from January 2008 to December 2014. Results:No pathologies were found,and cranial computed tomo-graphy showed no intracranial infarcts and hemorrhage in the ophthalmologic and neurologic examination. Treatment includ-ed the alleviation of vasospasm,improvement of cerebral perfusion pressure,stable blood brain barrier and neural nutrition, improvement of cerebral metabolism,free radical scavenging and psychological counseling symptomatic treatment. Four pa-tients with cortical blindness were recovered in 11 days. There were related complications in the 3 follow-up months. Con-clusion:The cortical blindness,caused by cerebral angiography,is a rare complication,and most patients can be cured.