Honigman B, Noordewier E, Kleinman D, Yaron M
University of Colorado Health Sciences Center, Department of Surgery, Division of Emergency Medicine and the Colorado Emergency Medicine Research Center, Denver, Colorado 80262, USA.
High Alt Med Biol. 2001 Winter;2(4):539-44. doi: 10.1089/152702901753397117.
High altitude retinal hemorrhages are commonly seen at altitudes above 4270 m. While these hemorrhages are generally asymptomatic, macular involvement may result in permanent visual acuity deficit. We present the case of a 29-year-old male recreational skier who traveled to a ski resort at 2930 m, ascended to 3470 m, and developed acute mountain sickness, high altitude pulmonary edema, and bilateral retinal hemorrhages. A funduscopic examination to determine if macular retinal hemorrhage is present may be performed by clinicians in the final assessment of patients following altitude illness.
高原视网膜出血常见于海拔4270米以上地区。虽然这些出血通常没有症状，但黄斑受累可能导致永久性视力缺损。我们报告一例29岁男性休闲滑雪者的病例，他前往一个海拔2930米的滑雪胜地，上升到3470米后，出现了急性高山病、高原肺水肿和双侧视网膜出血。在对高原病患者进行最终评估时，临床医生可进行眼底检查以确定是否存在黄斑视网膜出血。
