Chiang C C, Begley S, Henderson S O
Department of Emergency Medicine, LAC+USC Medical Center, Los Angeles, California 90033, USA.
J Emerg Med. 2000 Jan;18(1):23-6. doi: 10.1016/s0736-4679(99)00157-2.
A 57-year-old man with no previous medical history entered the emergency department with 2 days of painless vision loss in the left eye. The patient was diagnosed with central retinal vein occlusion (CRVO) and admitted for treatment. Further work-up revealed that the cause of his CRVO was a hyperviscosity syndrome secondary to multiple myeloma. The patient received two rounds of plasmapheresis with slight recovery of vision and was discharged 28 days later.
一名57岁无既往病史的男性因左眼无痛性视力丧失2天而进入急诊科。该患者被诊断为视网膜中央静脉阻塞(CRVO)并入院治疗。进一步检查发现,他的CRVO病因是继发于多发性骨髓瘤的高粘滞综合征。患者接受了两轮血浆置换,视力略有恢复,28天后出院。