尿毒症血液透析患者睑裂钙沉积的临床意义  

Clinical Significance of Calcium Deposits in Palpebral Fissure of Patients with Uremia after Hemodialysis

作　　者：姜淑敏[1] 李月红[1] 吴燕平[1] 

机构地区：[1]天津市南开医院,天津300100

出　　处：《医学综述》2012年第14期2332-2333,共2页Medical Recapitulate

摘　　要：目的观察尿毒症患者眼部症状和体征,分析与年龄、透析龄及肾功能的关系。方法对我院血透室进行血液透析的尿毒症患者30例58只眼进行眼科问诊和检查,包括主诉、视力、裂隙灯及眼底。结果 30例尿毒症患者58只眼中,15例22只眼睑裂部的球结膜和(或)角膜缘处有灰白色斑块(转移性钙沉积),位于球结膜血管之上,其中部分患者有周围球结膜充血及球结膜血管扩张,少部分患者其周围还有色素沉着。有钙沉积的患者年龄为48～74岁,无钙沉积的患者年龄为46～83岁。有钙沉积患者与无钙沉积患者的透析龄均为0.5～20年。58只眼中,35只眼底动脉硬化。结论尿毒症患者睑裂部球结膜和(或)角膜缘有转移性钙沉积,并且转移性钙沉积与年龄、透析龄无关,与肾功能关联性不大。Objective To observe the phenotype and ocular symptom of patients with uremia, analyze the correlation with patient＇ s age, time of hemodialysis and renal function. Methods 58 eye samples of 30 patients with uremia receiving hemodialysis from our hospital were selected ; diagnosis and check on the eyes, including self-complaints,vision, slit lamp and fundus were done. Results Among the 58 eyes of 30 pa- tients, only 15 patients with 22 eyes had grey patches（ metastatic calcium deposits）above the vessels of the pinguecula conjunctiva and/or corneal limbus, among whom some experienced surrounding conjunctival congestion and conjunctival vessels hemangiectasis, and a small number had pigmentation in the surroundings. Patients with calcium deposits were aged between 48-74;and patients without calcium deposits were aged between 46-83. Hemodialysis time of the patients with or without calcium deposits were both 0.5-20 years. A- mong the 58 eyes,35 had retinal arteriosclerosis. Conclusion Metastatic calcium deposits above the vessels of the pinguecula conjunctiva and/or corneal limbus of patients with uremia are irrelevant to their ages, total time of hemodialysis and renal function.

关 键 词：尿毒症 球结膜转移性钙沉积 球结膜充血 球结膜血管扩张 色素沉着 

分 类 号：R459[医药卫生—治疗学]