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頁籤選單縮合
題名 | Bilateral Bullous Exudative Retinal Detachment in Renal Failure=腎衰竭病人合併雙眼大泡性漿液性視網膜剝離 |
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作者 | 蔡宜佑; 黃福進; 楊寧廷; 曾順輝; | 書刊名 | 慈濟醫學 |
卷期 | 10:3 1998.09[民87.09] |
頁次 | 頁241-245 |
分類號 | 416.746 |
關鍵詞 | 漿液性視網膜剝離; 腎衰竭; 免疫複合體; Exudative retinal detachment; Renal failure; Immune-complex; |
語文 | 英文(English) |
中文摘要 | 本篇報告一位腎衰竭病人合併雙眼大泡性漿液性視網膜剝離,該病人的腎病變為 膜性增殖性腎絲球腎炎,其為一種免疫性疾病。本篇討論於腎衰竭病人產生漿液性視網膜剝 離的病因及高血壓、水份蓄積、電解質不平衡和免疫複合體沉積,對於漿液性視網膜剝離的 產生和回復所扮演的角色。從臨床研究發現,免疫複合體的沉積和高血壓可能是造成這位病 人合併有漿液性視網膜剝的病因,而視網膜剝離的回復則和水份蓄積的消除及低血鈉症的改 善有關,但和血壓控制的高低無關。至於類固醇的療效則無法確定。 |
英文摘要 | Bilateral bullous exudative retinal detachment has been reported in patients with renal failure, but the etiology and appropriate treatment at this type of retinal detachment are debatable. We present our experience with a patient with renal failure and bilateral bullous exudative retinal detachment. His renal disease was membrano-proliferative glomerulonephritis, which is immunologically mediated. The etiology of exudative retinal detachment associated with renal failure is discussed, and the roles of hypertension, fluid retention, electrolyte imbalance and immune- complex depostitiom in the presence and resolution of exudative retinal detachment in the patient are investigated. Clinical study indicated that immune-complex deposition or hypertension or both might have been the cause of retinal detachment in this patient. The resolution of retinal detachment was correlated with correction of fluid retention and dilutional hyponatremia, but unrelated to the level of blood pressure. The effect of systemic corticosteroid therapy remains unclear. |
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