Ad Macleod
Department of Palliative Care, Nurse Maude Hospice, 15 Mansfield Avenue, Christchurch, New Zealand.
Indian J Palliat Care. 2009 Jul;15(2):108-10. doi: 10.4103/0973-1075.58454.
To observe the incidence of full or partial eyelid closure at death.
The presence of ptosis was recorded in 100 consecutive hospice patient deaths.
Majority (63%) of the patients died with their eyes fully closed, however, 37% had bilateral ptosis at death, with incomplete eye closure. In this study, central nervous system tumor involvement and/or acute hepatic encephalopathy appeared to be pre-mortem risk factors of bilateral ptosis at death.
Organicity and not psychogenicity is, therefore, the likely etiology of failure of full eyelid closure at death.
观察死亡时眼睑完全或部分闭合的发生率。
连续记录100例临终关怀患者死亡时上睑下垂的情况。
大多数(63%)患者死亡时眼睛完全闭合,然而,37%的患者死亡时双侧上睑下垂,眼睛闭合不全。在本研究中,中枢神经系统肿瘤累及和/或急性肝性脑病似乎是死亡时双侧上睑下垂的生前危险因素。
因此,器质性而非精神性因素可能是死亡时眼睑未能完全闭合的病因。