动脉瘤性蛛网膜下腔出血合并Terson综合征二例并文献复习  

Aneurysmal subarachnoid hemorrhage with Terson syndrome:a report of two cases and literature review

作　　者：刘素娟 王泳 Liu Sujuan;Wang Yong(Rehabilitation Center,Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属复兴医院康复中心,北京100038

出　　处：《中国脑血管病杂志》2021年第2期122-125,共4页Chinese Journal of Cerebrovascular Diseases

摘　　要：Terson综合征是动脉瘤性蛛网膜下腔出血的严重并发症,包括视网膜前、视网膜内和(或)玻璃体的眼内出血,可导致视力模糊甚至失明。作者报道了2例动脉瘤性蛛网膜下腔出血合并Terson综合征患者,经过积极的康复及手术治疗,预后良好,结合文献进行分析。对于主诉视力或视野受损的动脉瘤性蛛网膜下腔出血患者,需完善眼科和头部CT等相关检查尽早明确Terson综合征的诊断,对确诊者积极进行康复和眼科治疗,以改善远期预后。Terson syndrome is a serious complication of aneurysmal subarachnoid hemorrhage including preretinal,intraretinal and/or vitreous hemorrhage,and can cause blurred vision and even blindness.Two patients with aneurysmal subarachnoid hemorrhage complicated with Terson syndrome were reported in this paper.After active rehabilitation and surgical treatment,the prognosis of the patients were good.Combined with these cases,related literatures were reviewed.For patients with aneurysmal subarachnoid hemorrhage with complaints of impaired visual acuity or visual field,diagnosis of Terson syndrome should be confirmed as soon as possible by ophthalmic and head CT examinations.Active rehabilitation and ophthalmic treatment should be carried out for confirmed patients to improve the long-term prognosis.

关 键 词：蛛网膜下腔出血 TERSON综合征 神经康复 

分 类 号：R743.35[医药卫生—神经病学与精神病学]