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題名 | 重度子癇前症併發兩側分枝視網膜動脈阻塞及視神經萎縮--病例報告 |
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作者 | 游旭明; 劉享源; 陳清華; 陳文淵; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 31:4 1992.12[民81.12] |
頁次 | 頁109-113 |
分類號 | 416.74 |
關鍵詞 | 重度子癇前症; 視網膜動脈阻塞; 視神經萎縮; Severe preeclampsia; BRAO; Optic atrophy; FIPTs; |
語文 | 中文(Chinese) |
中文摘要 | 一名二十八歲女病人,在懷孕第三十六週時,因視力模糊前來眼科求 診,經檢查發現兩眼視神經盤水腫,高血壓網膜病變(動脈攣縮,網膜出血,棉 花狀斑以及局部網膜內動脈旁漏出物FIPTs),脈胳膜病變(色素網膜變性和脈胳膜 梗塞)和血壓210/140mmHg,蛋白尿,全身水腫等子癇前症癥候,經轉婦產科並於 隔天作剖腹生產後,血壓逐漸回復正常,但眼底病變改善不甚理想。二個月後, 眼底檢查發現兩側分枝視網膜動脈阻塞和視神經萎縮,因此病例頗為罕見,故提 出報告。 |
英文摘要 | A 28-year-old woman, with 36-weeks pregnant, developed bilateral visual loss. Ophthalmoscopic examination disclosed bilateral edematous discs, hypertensive retinopathy, including arteriolar spasm, hemorrhage, cotton wool patches, focal intraretinal periarteriolar transudates, choroidal infarction and retinal pigmentary disturbance. Blood pressure was 210/140 mmHg, proteinuria and generalized edema also accompanied. A case of severe preeclampsia was diagnosed and referred to Obs. section. Caesarean section was performed on next day. Thereafter her general condition improved, nevertheless, the pathological fundus persisted with little improvement. Two months later, ophthalmoscopic findings showed bilateral optic atrophy and branch retinal artery occlusion. |
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