单眼一过性黑矇60例病因分析  

Cause analysis of 60 patients with monocular transient amaurosis

作　　者：邵义泽[1] 童绎 鲍晨汝[1] 

机构地区：[1]天津市南开医院神经内科,天津300100 [2]福州市东南眼科医院

出　　处：《中国中医眼科杂志》2015年第5期334-336,共3页China Journal of Chinese Ophthalmology

摘　　要：目的探讨单眼一过性黑矇的病因。方法对60例单眼一过性黑矇患者了解发作病史;进行眼科、全身检查以及颈部超声多普勒(CDFI),经颅超声多普勒(TCD)检查。结果 60例单眼一过性黑矇患者全部进行了CDFI检查,其中48例提示有颈动脉狭窄,占检查者的80%;28例TCD检查,24例有异常,占检查者的85.7%。脑血管造影后发病3例,脑室造影后发病1例;脑血管畸形5例;视网膜中央动脉栓塞3例,同侧偏盲5例。结论单眼一过性黑矇病因殊多,本组以颈内动脉狭窄为主,其次是脑血管畸形。OBJECTIVE To discuss the causes of monocular transient amaurosis. METHODS Sixty patients with monocular transient amaurosis were taken history of seizures; ophthalmic testing, physical examination, color doppler flow imaging, transcranial doppler ultrasound examination. RESULTS Sixty cases of CDFI inspection, 48 cases indicated a carotid artery stenosis, 80% of the inspectors; 48 cases of TCD examination, ：24 cases with abnor- mal,85.7% of the inspectors; 3 cases onset after cerebral angiography , 1 case onset after ventricular angiography; 5 cases of vascular malformations;3 cases of the central retinal artery embolism, 5 cases of bilateral homony- mous hemianopsia. CONCLUSIONS The causes of monocular transient amaurosis were various, but carotid artery stenosis was the main cause, and cerebrovascular malformations was the second.

关 键 词：单眼一过性黑矇 颈动脉狭窄 颈部超声多普勒 

分 类 号：R774[医药卫生—眼科]