论文部分内容阅读
1988年我科遇2例高血压危象误诊为视网膜中央静脉阻塞，现报告如下。患者男，68岁。因双眼视力急剧减退6小时于1988年2月20日门诊以视网膜中央静脉阻塞收入院。眼科检查：视力双眼：0.01，戴镜不能矫正。眼前段（－），双眼底视乳头水肿3个屈光度，视网膜静脉怒张，动脉变细，动、静脉比例：1:2，网膜大片灰白色水肿，散在片状出血。全身检查：患者面部潮红，肺（－），心率69次/分，叩诊心界左侧扩大，血压26.7/17.3kPa。检查时患者频繁呕吐，诉头痛，追问病史有高血压近15年。内科会诊意见：高血压病Ⅲ期，高血压危象转内科治疗。
In 1988, our department encountered 2 cases of hypertensive crisis misdiagnosed as central retinal vein occlusion, are as follows. Male patient, 68 years old. Due to a sharp decline in binocular vision 6 hours in February 20, 1988 out-patient retina central vein obstruction income hospital. Eye examination: eyesight: 0.01, wearing glasses can not be corrected. Anterior segment (-), binocular papilledema 3 diopter, retinal vein engorgement, arterial thinning, moving, intravenous ratio: 1: 2, large omentum gray edema, loose sheet flakes. Whole body examination: Patients with facial flushing, lung (-), heart rate 69 beats / min, percussion heart left to expand, blood pressure 26.7 / 17.3kPa. Check patients frequent vomiting, vomiting headache, history of hypertension have been asked nearly 15 years. Medical consultation opinion: Hypertension stage Ⅲ, hypertensive crisis turn medical treatment.