视网膜血管炎  

Retinal vasculitis

作　　者：王文吉[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2014年第2期69-73,共5页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：视网膜血管炎是一复杂眼底病,眼底表现为血管外白鞘,常伴玻璃体炎或视网膜脉络膜炎、病因除视网膜局部血管炎症外可伴有全身血管炎,甚至恶性肿瘤,因而要求眼科医师具有更广泛的知识,从眼部病变进而分析出全身疾病,及时进行治疗及转诊,不仅挽救视力,还可能拯救生命。本文就我国常见的感染性、非感染性、眼部特发性血管炎的诊治做一简要描述,并对可能伴有全身血管炎的病例就如何从病史、体格检查、实验室及影像学检查着手,逐步深入分析,找出诊治方向。Retinal vasculitis are complicated diseases. The hallmark is white sheath surrounding retinal blood vessels with retinal edema and hemorrhage. Vitreitis usually presents as well as inflammatory lesions on retina and choroid. Retinal vasculitis can be a manifestation of systemic diseases, such as systemic vasculitis or even malignancy. Therefore a broader knowledge is required for ophthalmologists to analyze the true causes of retinal vasculitis and timely refer to appropriate specialists, not only to restore damaged visual function but also to save life. In this article, a brief description of infectious, non-infectious and idiopathic retinal vasculitis prevailing in China is given. In addition, how to analyze the systemic causes of retinal vasculitis through history taken, physical exam, laboratory test and imaging to approach diagnosis is discussed. （Chin J Ophthalmol and Otorhinolaryngol,2014,14：69-73）

关 键 词：视网膜血管炎 梅毒 结核 类肉瘤病 BEHCET病 特发性视网膜血管炎 

分 类 号：R774.1[医药卫生—眼科]