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一、试述中心性浆液性视网膜脉络膜病变的病因和治疗本病的病因尚未定论。有:1.感染说:认为本病可能为病原体感染或感染病灶的毒性所引起。2.血管痉挛学说:多数学者不支持小动脉痉挛引起黄斑部水肿的看法。3.脉络膜血管病变学说:近年来,多数学者根据眼底血管萤光造影的观察,认为本病是由于脉络膜毛细血管通透性改变引起的。劳逸失度,内分泌失调,烟酒过量等均可成为致病因素。4.血液-网膜屏障障碍学说:所谓屏障是指网膜色素上皮屋和玻璃膜(Bruch氏膜),先有血液-网膜屏障之损害,引起物质交换失调的基础,再加脉络膜毛细血管通透性的亢进,终于导致病变的发生。5.中医一般认为本病与肾虚、肝热、痰湿及气血瘀滞有关。本病的治疗,目前常用的中西药有多种,中医根据辨证施治:(1)肝热型:治以清肝泻热,龙胆泻肝
First, the central serous retinal lesions and treatment of the etiology of the disease has not yet been conclusive. There are: 1. Infection said: that the disease may be caused by pathogen infection or infection of the toxicity caused. 2. Vasospasm theory: Most scholars do not support the view of arteriole spasm caused macular edema. 3. Choroidal vasculopathy theory: In recent years, most scholars based on the fundus fluorescein angiography observation, that the disease is due to changes in choriocapillaries caused by permeability. Loss of work and rest, endocrine disorders, tobacco and alcohol overdose can become a risk factor. 4. Blood-Omentum Barrier Theory: The so-called barrier refers to the retinal pigment epithelium and glass membrane (Bruch’s membrane), the first damage of the blood-omental barrier, causing the basis of material exchange disorders, coupled with the choriocapillaris Hyperpermeability, and finally lead to the occurrence of lesions. 5. Chinese medicine is generally believed that the disease and kidney, liver heat, phlegm and blood stasis related. The treatment of the disease, there are currently a variety of traditional Chinese and Western medicine, Chinese medicine based on syndrome differentiation: (1) Liver heat type: rule to clear liver diarrhea, Long Dan Xiegan