Marshman W E, Adams G G, Ohri R
Strabismus and Paediatric Service, Moorfields Eye Hospital, London, United Kingdom.
J AAPOS. 1999 Aug;3(4):255-6. doi: 10.1016/s1091-8531(99)70013-3.
The finding of retinal or vitreous hemorrhage in a child under age 3 years may cause significant controversy with regard to the etiology, because it raises the suspicion of nonaccidental injury. Blood dyscrasias have been documented to cause retinal and vitreous hemorrhages in adults and children, but they have rarely been reported to be the cause of retinal hemorrhages in neonates. We report on a patient with a low plasma fibrinogen level who had bilateral retinal hemorrhage that proceeded to vitreous hemorrhage. This subtle abnormality of the blood clotting cascade caused significant retinal and vitreous hemorrhage in a child without risk factors for abuse.
在3岁以下儿童中发现视网膜或玻璃体出血，可能会在病因方面引发重大争议，因为这会引发非意外性损伤的怀疑。血液系统疾病已被证明可导致成人和儿童的视网膜及玻璃体出血，但很少有报道称其是新生儿视网膜出血的原因。我们报告了一名血浆纤维蛋白原水平较低的患者，该患者出现双侧视网膜出血并进展为玻璃体出血。这种凝血级联的细微异常在一名无虐待风险因素的儿童中导致了严重的视网膜和玻璃体出血。
