Terson综合征的发病机制  

Pathogenesis of Terson syndrome

作　　者：李晓 郭明义 刘谨慎 雷雨馨 王林洪 Li Xiao;Guo Mingyi;Liu Jinshen;Lei Yuxin;Wang Linhong(Department of Ophthalmology,the Second Affiliated Hospital of Tianjin Medical University,Tianjin Institute of Orbital Diseases,Tianjin 300211,China;Department of Ophthalmology,Affiliated Hospital of North China University of Science and Technology,Graduate School of North China University of Science and Technology,Tangshan 063000,China)

机构地区：[1]天津医科大学第二附属医院眼科、天津市眼眶病研究所,300211 [2]华北理工大学附属医院眼科、华北理工大学研究生院,唐山063000

出　　处：《国际眼科纵览》2023年第1期42-46,共5页International Review of Ophthalmology

基　　金：河北省教育厅基金--河北省研究生示范课程立项建设项目(KCJSZ2020055)

摘　　要：Terson综合征是颅内出血引起的眼内出血,在蛛网膜下腔出血的患者中尤为常见。目前Terson综合征具体发病机制暂不明确,可能的发病机制有:颅内出血导致颅内压增高,增高的颅内压引起视网膜静脉回流受阻,引起静脉阻塞性出血;颅内出血沿视神经鞘进入眼内,引起眼内出血。近来从颅内到眼球的类淋巴系统成为该疾病新的研究方向,为Terson综合征的发病机制提供另外一种可能,并有可能为其他眼科疾病提供一种新的思路。Terson syndrome is an intraocular hemorrhage caused by intracranial hemorrhage,which is particularly common in patients with subarachnoid hemorrhage.At present,the specific pathogenesis of Terson syndrome is not clear,but the current mainstream pathogenesis is as follows:first,intracranial hemorrhage leads to increased intracranial pressure,and increased intracranial pressure leads to blocked retinal venous reflux,resulting in venous obstructive bleeding;the other is intracranial hemorrhage along the optic nerve sheath into the eye,causing intraocular hemorrhage.Recently,the lymphatic system from the intracranial to the eyeball has become a new research direction of this disease,providing another possibility for the pathogenesis of Terson syndrome and possibly a new way of thinking for other ophthalmic diseases.

关 键 词：TERSON综合征 玻璃体出血 类淋巴系统 蛛网膜下腔出血 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R771.3[医药卫生—临床医学]