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題名 | Bilateral Serous Retinal Detachment as a Prodroma of Severe Preeclampsia--A Case Report=嚴重性子癇前症以雙側視網膜剝離為先兆表現:一病例報告 |
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作者 | 黃伯達; 華筱玲; 李原傑; 陳慕師; 柯滄銘; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 38:4 1999.12[民88.12] |
頁次 | 頁163-166 |
分類號 | 417.346 |
關鍵詞 | 視網膜剝離; 子癇前症; Retinal detachment; Preeclampsia; |
語文 | 英文(English) |
中文摘要 | 背景:嚴重性子病前症所伴隨而來的脈絡膜視網膜病變反映出孕婦體內血管痙攣的現象,並且是胎兒可能受到危害的預警。本文中,我們描述一名因早期宮縮接受安胎治療的孕婦,其所患有的嚴重性子癇前病以雙側視網膜剝離為先兆表現。 病例報告:一名25歲孕婦,於妊振33週時因早期宮縮接受安胎治療。於住院期間為加速胎兒肺部成熟,我們曾予以施打類固醇。三天後,因其感到視力模糊所作的眼底檢查發現其兩眼都已出現視網膜剝離,進而警覺到嚴重性子癇前症之可能。為終止妊娠,乃施行緊急剖腹產手術,挽出一情況良好之早產女嬰。產婦於產後幾天仍患有難以控制的高血壓,所幸產後四天的眼底檢查顯示其視網膜剝離處已重新癒合,且視力於產後兩週內恢復。 結論:本例的眼底檢查顯示因子癇前症所引發的視網膜剝離是因脈絡膜血管受到損害所致。本例所施用的類固醇可能是導致視網膜剝離的原因之一。 |
英文摘要 | BACKGROUND: Chorioretinopathy associated with severe preeclampsia reflects the underlying vasospasm and predicts the compromise of the infants. Herein, we describe a case in which bilateral retinal detachment presented as the first sign suggestive of severe preeclampsia. CASE REPORT: A 25-year-old pregnant lady, suffered from preterm labor at 33 weeks. After admission, she received ritodrine for tocolysis and corticosteroid for enhancing fetal lung maturity. Three days later, she developed preeclampsia with blurred vision as the initial presentation. The eyeground findings revealed bilateral serous retinal detachment without hemorrhage or cotton wool spots, though her blood pressure was only mildly elevated initially. Emergency cesarean section was therefore carried out to deliver a live premature female baby smoothly. The postpartum course was complicated with intractable hypertension. Fortunately, return of her vision and retinal reattachment were noted within 2 weeks postpartum. DISCUSSION: The eyeground findings in our case indicated that it may be an insult to the choroid vessels that accounts for this obstetric complication. The administration of corticosteroid may be a predisposing factor of the early development of retinal detachment in this case. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。