酒精性酮症酸中毒致一过性双眼视力丧失1例  

Reversible bilateral blindness associated with alcoholic ketoacidosis:a case report

作　　者：张粒 雷春燕[1] 谭惠文[2] 张美霞[1] Zhang Li;Lei Chunyan;Tan Huiwen;Zhang Meixia(Department of Ophthalmology,Sichuan University,West China Hospital,Chengdu 610041,China;Department of Endocrinology and Metabolism,Sichuan University,West China Hospital,Chengdu 610041,China)

机构地区：[1]四川大学华西医院眼科,成都610041 [2]四川大学华西医院内分泌科,成都610041

出　　处：《中华眼科杂志》2023年第11期940-942,共3页Chinese Journal of Ophthalmology

摘　　要：1例长期酗酒的中年男性因突发双眼失明1 h就诊于急诊科。患者双眼视力无光感,但裂隙灯眼底检查未见明显异常,全身检查发现患者有严重酮症酸中毒。经历3 h失明后患者自发恢复光感,但出现体循环衰竭,经过降低酮体、液体复苏、纠正酸中毒治疗后患者最终全身状况稳定,视力迅速恢复。基于饮酒病史、查体结果以及血液分析结果,该病例被诊断为酒精性酮症酸中毒所致的一过性双眼失明。A 51-year-old male with a history of chronic alcoholism presented to the emergency department with an abrupt onset of complete bilateral blindness lasting for one hour.Funduscopic examination yielded unremarkable findings.Systemic evaluations revealed the presence of severe ketoacidosis.The patient spontaneously regained light perception after experiencing total blindness for 3 hours;however,he subsequently developed hypothermia and entered a state of shock.Following treatment with sodium bicarbonate and aggressive fluid resuscitation,his condition stabilized,and there was a rapid improvement in his visual acuity.The diagnosis of alcoholic ketoacidosis was established based on the patient′s history of chronic alcohol abuse,physical examination findings,and blood analysis results.

关 键 词：慢性酒精中毒 酮病 盲 

分 类 号：R595.6[医药卫生—内科学] R77[医药卫生—临床医学]