頁籤選單縮合
題名 | Perimacular Retinal Folds in the Shaken Baby Syndrome=搖晃嬰兒症候群的眼底觀察 |
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作者 | 許桓誠; 林淑妍; 黃嵩雀; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 36:2 1997.06[民86.06] |
頁次 | 頁120-124 |
分類號 | 417.671 |
關鍵詞 | 搖晃嬰兒症候群; 眼底觀察; Perimacular retinal folds; Shaken baby syndrome; |
語文 | 英文(English) |
中文摘要 | We examined an infant with the diagnosis of shaken baby syndrome. Ophthalmologic examination showed no objective response to strong light. The pupils were fixed at 6 mm. There were no external signs of ocular trauma. Results of the anterior segment examination were normal. Ophthalmoscopic examination showed bilateral extensive diffused subretinal, intraretinal and preretinal hemorrhages. Perimacular elevated ring-shaped retinal or subretinal folds were also noted in both eyes. The retinas looked folded over themselves, forming a rign-shaped ridge surrounded the macular region. There were also mild vitreous hemorrhages noted in both eyes. Computed tomography showed diffuse brain edema without evidence of subarachnoid hemorrhage. Records of the EEG examination showed diffuse cortical dysfunction suggestive of brain death. The child never regained consciousness, and expired on the 13th day after admission. |
英文摘要 | 一個四個月大的女嬰被診斷為晃嬰兒症候群而照會眼科醫師。眼科檢查發現眼睛 周圍外觀正常,沒有外傷的跡象。瞳孔固定為6mm大小,而且對強光沒有反應。眼睛前極部 皆為正常,眼底檢查發現雙眼皆有嚴重的視網膜出血。在兩眼黃斑部外皆有環狀的視網膜 皺褶突起,環繞著黃斑部附近。有些皺褶看起來似乎是視網膜相互重疊在一起。兩眼的視 神經盤充血,邊緣模糊。兩眼亦有輕微的玻璃體出血的現象。 |
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