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床旁眼部超声在左视网膜中央动脉阻塞中的新应用

Novel Application of Point-of-Care Ocular Ultrasound in a Left Central Retinal Artery Occlusion.

作者信息

Bridwell Rachel E, Wray Jesse, Oliver Joshua, Cibrario Amber, Myers Melissa

机构信息

Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.

出版信息

Cureus. 2020 Apr 2;12(4):e7518. doi: 10.7759/cureus.7518.

DOI:10.7759/cureus.7518
PMID:32377466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7198085/
Abstract

Central retinal artery occlusion represents a vision-threatening entity in those presenting with monocular painless vision loss, especially in the elderly and those with cardiovascular comorbidities. While confirmation of this diagnosis requires consultation with an ophthalmologist, prompt recognition is the crucial action of the emergency physician to help reverse retinal ischemia and save vision. Here we describe the case of a central retinal artery occlusion identified on point-of-care ocular ultrasound and confirmed by fluorescein angiography.

摘要

视网膜中央动脉阻塞在那些出现单眼无痛性视力丧失的患者中是一种威胁视力的疾病,尤其是在老年人以及患有心血管合并症的患者中。虽然确诊这一诊断需要咨询眼科医生,但迅速识别是急诊医生的关键行动,以帮助逆转视网膜缺血并挽救视力。在此,我们描述一例通过床旁眼部超声发现并经荧光素血管造影证实的视网膜中央动脉阻塞病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf70/7198085/0a80f2af1851/cureus-0012-00000007518-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf70/7198085/0a80f2af1851/cureus-0012-00000007518-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf70/7198085/0a80f2af1851/cureus-0012-00000007518-i02.jpg

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本文引用的文献

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Clin Pract Cases Emerg Med. 2019 Jan 4;3(1):13-15. doi: 10.5811/cpcem.2018.11.39406. eCollection 2019 Feb.
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Update on the Management of Central Retinal Artery Occlusion.视网膜中央动脉阻塞的治疗进展
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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。
急诊科即时超声检测视网膜中央动脉阻塞:病例系列
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Cardiovascular Risk Factors in Central Retinal Artery Occlusion: Results of a Prospective and Standardized Medical Examination.中心性视网膜动脉阻塞的心血管危险因素:前瞻性和标准化医学检查的结果。
Ophthalmology. 2015 Sep;122(9):1881-8. doi: 10.1016/j.ophtha.2015.05.044. Epub 2015 Jul 21.
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Nationwide incidence of clinically diagnosed central retinal artery occlusion in Korea, 2008 to 2011.韩国 2008 至 2011 年临床诊断的中央视网膜动脉阻塞的全国发病率。
Ophthalmology. 2014 Oct;121(10):1933-8. doi: 10.1016/j.ophtha.2014.04.029. Epub 2014 Jun 7.
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An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association.更新的 21 世纪卒中定义:美国心脏协会/美国卒中协会发布的医疗保健专业人员声明。
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