首诊非眼科的急性闭角型青光眼误诊分析  

The analysis of misdiagnosis on acute angle closure glaucoma

作　　者：韩少平[1] 王永淑[1] 

机构地区：[1]郑州大学附属洛阳中心医院眼科,河南洛阳471000

出　　处：《中国现代医生》2015年第28期47-48,52,共3页China Modern Doctor

摘　　要：目的分析急性闭角型青光眼被误诊的原因，寻找防止误诊的方法。方法2011～2014年我院共收治25例首诊科室非眼科并被误诊的急性闭角型青光眼患者，对其临床资料进行回顾性分析。结果25例患者中，13例被误诊为脑血管病，6例被误诊为急性胃肠炎，4例被误诊为偏头痛，2例被误诊为感冒。结论急性闭角型青光眼患者除眼部症状外多合并有全身症状，若首诊科室不是眼科，容易被误诊。非眼科医师应该加强对该疾病的了解，同时宣传青光眼的相关知识，减少误诊误治发生。Objective To investigate the causes and the prevention of misdiagnosing acute angle closure glaucoma for other diseases. Methods A total of 25 clinical misdiagnosed cases in non-ophthalmology department were analyzed ret- rospectively in our hospital from 2011 to 2014. Results Of 25 cases, 13 cases were misdiagnosed as cerebrovascular disease, 6 cases were acute gastroentefitis, 4 cases were＇migraine, 2 cases were common cold. Conclusion Acute angle closure glaucoma often present systemic symptoms besides ocular signs, if first-visit department is not ophthalmology, patient may have more chance to be mistreated. Health providers should broad their knowledge of glaucoma to avoid and reduce misdiagnosis.

关 键 词：青光眼 原发性 闭角型 急性 误诊 

分 类 号：R775[医药卫生—眼科]