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18岁以下儿童及青少年的糖尿病视网膜病变

[Diabetic retinopathy in children and adolescents under 18 years of age].

作者信息

Strmen P, Hasa J, Krásnik V, Brósková D, Barák L

机构信息

Ocná klinika FN, Bratislava.

出版信息

Cesk Oftalmol. 1992 Oct;48(5):338-43.

PMID:1486626
Abstract

We found ophthalmoscopically microaneurysms in 22 patients from 189 diabetics (11.6%). The youngest patients with microaneurysms were two 11-years-old girls with 3 and 5 years lasting disease. The chance of retinopathy was growing with the duration of the diabetes. By fluorescein angiography we discovered retinopathy in 52 patients out of 126 diabetics (41.3%). The retinopathy was more often found among girls. Just in one case we found the early stage of preproliferative retinopathy. The retinopathy was more often found in diabetics with higher levels of glyconated hemoglobin. The extent of foveolar avascular zone is decreasing with the longer course of the diabetes. We recorded lower occurrence of diabetic retinopathy in patients treated at the Ist Department of Pediatrics in Bratislava. In the group evaluated in the years 1986-89 the occurrence of the diabetic retinopathy diagnosed ophthalmoscopically was lower than in the group of 1981-84.

摘要

我们在189名糖尿病患者中的22名(11.6%)身上通过检眼镜检查发现了微动脉瘤。最年轻的患有微动脉瘤的患者是两名11岁的女孩,她们分别患有3年和5年的糖尿病。视网膜病变的几率随着糖尿病病程的延长而增加。通过荧光素血管造影,我们在126名糖尿病患者中的52名(41.3%)身上发现了视网膜病变。视网膜病变在女孩中更为常见。仅在1例中发现了增殖前期视网膜病变的早期阶段。视网膜病变在糖化血红蛋白水平较高的糖尿病患者中更为常见。随着糖尿病病程的延长,黄斑无血管区的范围在减小。我们记录到在布拉迪斯拉发第一儿科治疗的患者中糖尿病视网膜病变的发生率较低。在1986 - 1989年评估的组中,通过检眼镜诊断出的糖尿病视网膜病变的发生率低于1981 - 1984年的组。

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