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肝性皮层盲是严重肝病所致的皮层性失明,较少见。近5年来,国内见报道10例,我院7例,现作一综合分析。 自 1978年7月至1995年6月我院共收治肝性昏迷213例,以视力丧失为主要表现者7例,同期国内报道10例,共17例。男11例,女5例,年龄25～65岁,平均41岁。其中肝炎后肝硬化12例,急住黄疸型肝炎2例,亚急性重症肝炎1例,肝癌1例,布-卡(Budd-chiari)氏综合征1例。低血钾4例,高蛋白饮食2例,自发性腹膜炎2例,肝功能衰竭2例,上消化道出血3例,呼吸道感染1例,1例无明显诱因。
Hepatic cortical blindness is a serious blindness caused by liver disease, rare. In the past 5 years, 10 cases were reported in our country and 7 cases in our hospital. Now we make a comprehensive analysis. From July 1978 to June 1995, our hospital received a total of 213 cases of hepatic coma, with vision loss as the main performance in 7 cases, the same period in China reported 10 cases, a total of 17 cases. There were 11 males and 5 females, aged from 25 to 65 years, with an average of 41 years. Including hepatitis cirrhosis in 12 cases, acute and jaundice hepatitis in 2 cases, 1 case of subacute severe hepatitis, liver cancer in 1 case, Budd-Chiari syndrome (1). 4 cases of hypokalemia, 2 cases of high protein diet, 2 cases of spontaneous peritonitis, liver failure in 2 cases, 3 cases of upper gastrointestinal bleeding, respiratory tract infection in 1 case, 1 case no obvious incentive.