使用床旁超声早期识别视网膜中央动脉阻塞
Early Identification of Central Retinal Artery Occlusion Using Point-of-care Ultrasound.
作者信息
Stoner-Duncan Ben, Morris Stephen C
机构信息
University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington.
出版信息
Clin Pract Cases Emerg Med. 2019 Jan 4;3(1):13-15. doi: 10.5811/cpcem.2018.11.39406. eCollection 2019 Feb.
Abstract
A 69-year-old woman with a history of untreated hypertension presented with acute-onset monocular vision loss. Initial workup was delayed due to lack of immediate specialty consultation and dilated funduscopic exam. Point-of-care ultrasound in the emergency department identified a small hyperechoic structure within the distal area of the central retinal artery; in conjunction with specialty ophthalmologic evaluation in a tertiary care center, the diagnosis of central retinal artery occlusion was made. The patient was admitted to the neurology service for stroke risk stratification and was discharged in stable condition with re-initiation of her antihypertensive medication regimen.
摘要
一名69岁有未治疗高血压病史的女性出现急性单眼视力丧失。由于缺乏即时专科会诊和散瞳眼底检查，初始检查延迟。急诊科的床旁超声在视网膜中央动脉远端区域发现一个小的高回声结构；结合三级医疗中心的专科眼科评估，诊断为视网膜中央动脉阻塞。患者因中风风险分层入住神经内科，出院时病情稳定，重新开始服用抗高血压药物治疗方案。
相似文献
1
Early Identification of Central Retinal Artery Occlusion Using Point-of-care Ultrasound.使用床旁超声早期识别视网膜中央动脉阻塞
Clin Pract Cases Emerg Med. 2019 Jan 4;3(1):13-15. doi: 10.5811/cpcem.2018.11.39406. eCollection 2019 Feb.
2
Sonographic Retrobulbar Spot Sign in Diagnosis of Central Retinal Artery Occlusion: A Case Report.超声检查眼球后斑点征在视网膜中央动脉阻塞诊断中的应用：一例报告
J Educ Teach Emerg Med. 2023 Oct 31;8(4):V5-V8. doi: 10.21980/J8735P. eCollection 2023 Oct.
3
Embolic Central Retinal Artery Occlusion Detected with Point-of-care Ultrasonography in the Emergency Department.急诊科采用床旁超声检查诊断出栓塞性视网膜中央动脉阻塞。
J Emerg Med. 2016 Apr;50(4):e183-5. doi: 10.1016/j.jemermed.2015.12.022. Epub 2016 Feb 12.
4
Emergency Department Doppler Assessment of a Central Retinal Artery Occlusion: Case Report.急诊科对视网膜中央动脉阻塞的多普勒评估：病例报告
Clin Pract Cases Emerg Med. 2024 May;8(2):115-119. doi: 10.5811/cpcem.1520.
5
Novel Application of Point-of-Care Ocular Ultrasound in a Left Central Retinal Artery Occlusion.床旁眼部超声在左视网膜中央动脉阻塞中的新应用
Cureus. 2020 Apr 2;12(4):e7518. doi: 10.7759/cureus.7518.
6
Painless loss of vision: rapid diagnosis of a central retinal artery occlusion utilizing point-of-care ultrasound.无痛性视力丧失：利用即时超声快速诊断视网膜中央动脉阻塞
Oxf Med Case Reports. 2021 Jun 18;2021(6):omab038. doi: 10.1093/omcr/omab038. eCollection 2021 Jun.
7
Three presentations of monocular vision loss.单眼视力丧失的三种表现形式。
Optometry. 2006 Feb;77(2):82-7. doi: 10.1016/j.optm.2005.12.003.
8
Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report.瓦氏视网膜病变在床旁眼部超声检查中被误诊为视网膜脱离：一例报告
Clin Pract Cases Emerg Med. 2022 May;6(2):125-128. doi: 10.5811/cpcem.2022.1.55173.
9
Using the Retrobulbar Spot Sign to Assist in Diagnosis and Management of Central Retinal Artery Occlusions.应用球后血斑征辅助诊断和管理视网膜中央动脉阻塞。
J Ultrasound Med. 2020 Jan;39(1):197-202. doi: 10.1002/jum.15073. Epub 2019 Jun 22.
10
[Spontaneous visual recovery following a central retinal artery occlusion in a patient with a cilioretinal artery].[一名患有睫状视网膜动脉的患者视网膜中央动脉阻塞后自发视力恢复]
Orv Hetil. 2019 Jul;160(29):1146-1152. doi: 10.1556/650.2019.31434.
引用本文的文献
1
Diagnosis of Central Retinal Artery Occlusion in the Emergency Department Using POCUS: A Case Series.急诊科使用床旁超声诊断视网膜中央动脉阻塞：病例系列
POCUS J. 2021 Nov 23;6(2):73-75. doi: 10.24908/pocus.v6i2.14974. eCollection 2021.
2
Point-of-care ultrasound in the detection of central retinal artery occlusion in a patient with recent COVID-19.即时超声检查在一名近期感染新型冠状病毒肺炎患者视网膜中央动脉阻塞检测中的应用
J Am Coll Emerg Physicians Open. 2022 Nov 14;3(6):e12842. doi: 10.1002/emp2.12842. eCollection 2022 Dec.
3
Detection of Central Retinal Artery Occlusion by Point-of-Care Ultrasound in the Emergency Department: A Case Series.急诊科即时超声检测视网膜中央动脉阻塞：病例系列
Cureus. 2021 Jul 3;13(7):e16142. doi: 10.7759/cureus.16142. eCollection 2021 Jul.
4
Painless loss of vision: rapid diagnosis of a central retinal artery occlusion utilizing point-of-care ultrasound.无痛性视力丧失：利用即时超声快速诊断视网膜中央动脉阻塞
Oxf Med Case Reports. 2021 Jun 18;2021(6):omab038. doi: 10.1093/omcr/omab038. eCollection 2021 Jun.
5
Novel Application of Point-of-Care Ocular Ultrasound in a Left Central Retinal Artery Occlusion.床旁眼部超声在左视网膜中央动脉阻塞中的新应用
Cureus. 2020 Apr 2;12(4):e7518. doi: 10.7759/cureus.7518.
本文引用的文献
1
Embolic Central Retinal Artery Occlusion Detected with Point-of-care Ultrasonography in the Emergency Department.急诊科采用床旁超声检查诊断出栓塞性视网膜中央动脉阻塞。
J Emerg Med. 2016 Apr;50(4):e183-5. doi: 10.1016/j.jemermed.2015.12.022. Epub 2016 Feb 12.
2
Acute, painless vision loss.急性无痛性视力丧失。
J La State Med Soc. 2009 Jul-Aug;161(4):214-6, 218-23.
3
Vascular risk factors for central retinal artery occlusion.中央视网膜动脉阻塞的血管危险因素。
Eye (Lond). 2010 Apr;24(4):678-81. doi: 10.1038/eye.2009.142. Epub 2009 Jun 12.
4
Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure.视神经鞘直径与颅内压直接测量的相关性
Acad Emerg Med. 2008 Feb;15(2):201-4. doi: 10.1111/j.1553-2712.2007.00031.x.
5
Systemic diseases in non-inflammatory branch and central retinal artery occlusion--an overview of 416 patients.非炎性分支及视网膜中央动脉阻塞中的全身性疾病——416例患者的概述
Eur J Med Res. 2007 Dec 14;12(12):595-603.
6
A study of bedside ocular ultrasonography in the emergency department.急诊科床边眼部超声检查的一项研究。
Acad Emerg Med. 2002 Aug;9(8):791-9. doi: 10.1111/j.1553-2712.2002.tb02166.x.
7
Embolic central retinal artery occlusion detected by orbital color Doppler imaging.经眼眶彩色多普勒成像检测到的栓子性视网膜中央动脉阻塞
Ophthalmology. 2002 Apr;109(4):744-7; discussion 747-8. doi: 10.1016/s0161-6420(01)01011-9.
Zotero 插件