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相關文獻
- Malignant Hypertensive Retinopathy-Clinical and Fundus Manifestations in Patients with New Onset or Acute Exacerbation of Chronic Hypertension
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- 惡性高血壓
頁籤選單縮合
題 名 | Malignant Hypertensive Retinopathy-Clinical and Fundus Manifestations in Patients with New Onset or Acute Exacerbation of Chronic Hypertension=惡性高血壓病人之臨床及眼底表現 |
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作 者 | 陳怡豪; 郭錫恭; 郭明倫; | 書刊名 | 長庚醫學 |
卷 期 | 26:9 2003.09[民92.09] |
頁 次 | 頁669-677 |
分類號 | 416.746 |
關鍵詞 | 惡性高血壓; 惡性高血壓性視網膜病變; Malignant hypertension; Malignant hypertensive retinopathy; |
語 文 | 英文(English) |
中文摘要 | 目的:呈現惡性高血壓病人之臨床及眼底表現。 方法:回顧及分析於1995到2000年在高雄長庚醫院的高血壓性視網膜病變之病人。並由視網膜科醫師再判斷彩色眼底攝影圖,篩選出惡性高血壓性視網膜病變之病人共14位。在病人症狀發生時,至少要有一次高血壓數值被記錄在病歷上。可能影響判斷的全身性疾病均被排除。 結果:共有14個病人。其中6人(group 1)並無高血壓病史。另8位(group 2)是曾有高血壓病史但並未服用藥物,或尚無適當而有效治療者。病人因視力模糊而求診。兩組惡性高血壓病人的年齡及血壓並無明顯差異。Group 2病人發生眼或腦中風或腎衰竭者似乎較多。 結論:早期診斷惡性高血壓病人,眼底檢查及血的測量是重要的。對於血壓變動較大的病人,其眼底表現是有追蹤價值的。 |
英文摘要 | Background: We attempted to review the clinical and fundus finding in patients with malignant hypertension (MHT). Methods: Charts and fundus photographs of patients with malignant hypertensive retinopathy from 1995 to 2000 were retrospectively reviewed. Data of patients were included when their color fundus photographs revealed findings usgestive of malignant hypertension (MHT). There had to have been at least 1 high blood pressure reading recorded in the chart during the period when the sypmptoms occurred. Data were excluded form patients with diseases such as diabetes mellitus, blood dyscrasia, and autoimmune and infectious diseases which can mimic the fundus findings of MHT. Results: Fourteen patients were include in our study. Patients were divided into 2 groups according to whether or not they had a history of hypertension. Group 1 included 6 patients with no hypertension history, while group 2 included 8 patients with a known hypertension history. In group 1, MHT was diagnosed by an ophthalmologist in 4 patients, and the other 2 patients were referred from the Gynecology and Nephrology Departments. Between the 2 groups, there were no significant differences in age, or systolic and diastolic blood pressures. There were more complications such as renal failure and stroke in group 2 patients. Conclusion: Funduscopy has decisive significance in the diagnosis and monitoring of MHT. In order to accurately diagnose and achieve early control of this critical condition, a detailed fundus examination and blood pressure monitoring are mandatory. |
本系統中英文摘要資訊取自各篇刊載內容。