椎基底动脉供血不足的眼部症状临床分析  

Clinical analysis of ocular symptoms in vertebral-basilar insufficiency

作　　者：李晓艳[1] 魏世辉[1] 

机构地区：[1]中国人民解放军总医院眼科,北京100853

出　　处：《中国实用眼科杂志》2008年第7期702-704,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的通过对椎基底动脉供血不足的眼部症状分析，减少其在眼科的误诊及漏诊率。方法对伴有眼部症状的椎基底动脉供血不足的70例临床资料进行回顾性分析。眼科检查包括：视力、视野、眼球运动、复视试验、裂隙灯、眼底、眼压等。结果70例椎基底动脉供血不足的眼部表现：视力下降58例（82．86％）、同向偏盲或象限盲23例（32．86％）、一过性黑朦13例（18．57％）、复视16例（22．86％）、眼球运动障碍7例（10％）、眼球震颤15例（21．43％）。结论椎基底动脉供血不足的患者可因眼部症状突出或首发而就诊于眼科，熟悉并掌握其眼部表现有助于此病的早期诊断及治疗。Objective To decrease the missed diagnosis and misdiagnosis of vertebral-basilar insufficiency in the department of ophthalmology by analyzing its ocular symptoms. Methods The clinical data of vertebral-basilar insufficiency with ocular symtoms were analyzed. The ophthalmologic examinations included： visual acuity, visual field, movement of eyeball, diplopia test, slit-lamp, ocular fundus, intraocular tesion, etc. Results The ocular symptoms ofvertebral-basilar insufficiency included： visual deterioration in 58 casess （82.86%）, congruous homonymous hemianopia or quadrantanopsia in 23 cases（32,86% ）, transient amaurosis in 13 cases （18.57%）, diplopia in 16 cases （22.86%）, disabled movement of eyeball in 7 cases （10%）, nystagmus in 15 cases （21.43%）. Conclusions The patients with vertebral-basilar insufficiency can see doctor in the department of ophthalmology because of their obvious or initial ocular symptoms, familiarizing and mastering its ocular symptoms may contribute to its early diagnosis and treatment.

关 键 词：椎基底动脉供血不足 眼部表现 临床分析 治疗方法 

分 类 号：R743[医药卫生—神经病学与精神病学] R771.3[医药卫生—临床医学]