Senthilkumaran Subramanian, Jena Narendra N, Balamurugan Namasivayam, Florence Benita, Thirumalaikolundusubramanian Ponniah
Department of Emergency and Critical Care, Manian Medical Centre, Erode, Tamil Nadu, India.
Department of Emergency Medicine, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.
Indian J Crit Care Med. 2019 Nov;23(11):543. doi: 10.5005/jp-journals-10071-23279.
The realities, recognition, and remedial aspects of anisocoria at the bedside were highlighted by Adhikari et al., which is almost similar to an earlier report from India. Since this condition involves patient safety and clinical assessment, we would like to touch upon 3 Ps (physiological, pathological, and pharmacological) of anisocoria. First and foremost is to elicit a thorough clinical history and then to assess the case in detail which not only rules out injuries, infections, instillation, or ingestion of medicines and instigating mechanisms but also helps rule out various other life-threatening conditions.
Senthilkumaran S, Jena NN, Balamurugan N, Florence B, Thirumalaikolundusubramanian P. Anisocoria: Realities, Recognition, and Remedial Aspects. IJCCM 2019;23(11):543.
阿迪卡里等人强调了床边不等大瞳孔的实际情况、识别方法及补救措施，这与印度早些时候的一份报告几乎相似。由于这种情况涉及患者安全和临床评估，我们想探讨一下不等大瞳孔的3个P（生理、病理和药理）。首先也是最重要的是获取详尽的临床病史，然后详细评估病例，这不仅能排除损伤、感染、药物滴注或摄入以及诱发机制，还有助于排除各种其他危及生命的情况。
森蒂尔库马兰 S、耶拿 NN、巴拉穆鲁根 N、弗洛伦斯 B、蒂鲁马莱科伦杜苏布拉马尼亚姆 P。不等大瞳孔：实际情况、识别方法及补救措施。《印度社区医学杂志》2019年；23(11):543。
