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[从一名患者身上取下东莨菪碱贴片后出现急性单症状性瞳孔不等大]

[Acute monosymptomatic anisocoria after removing a scopolamine patch from a patient].

作者信息

Rosenbæk Jeppe Bakkestrøm

出版信息

Ugeskr Laeger. 2017 Jan 30;179(5).

PMID:28397666
Abstract

Acute anisocoria requires timely examination to rule out intracranial pathology. This case report describes a 34-year-old nurse who experienced blurred vision and unilateral mydriasis. She had no other complaints, and neurological examinations were normal. Shortly before, she had removed a scopolamine (hyoscine) patch from a patient and had following inadvertently rubbed her eye. The symptoms remitted completely within 24 hours. Knowledge of this benign phenomenon is important in order to advise patients and caregivers when handling a scopolamine patch, and in order to avoid unnecessary investigations.

摘要

急性瞳孔不等大需要及时检查以排除颅内病变。本病例报告描述了一名34岁的护士,她出现了视力模糊和单侧瞳孔散大的症状。她没有其他不适,神经系统检查正常。不久前,她从一名患者身上取下了东莨菪碱贴片,随后不小心揉了眼睛。症状在24小时内完全缓解。了解这种良性现象对于在处理东莨菪碱贴片时向患者和护理人员提供建议以及避免不必要的检查非常重要。

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