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2例患者在脊麻下行剖宫产术后出现双侧中心暗点,但中心视力保留。

Bilateral central scotoma with preservation of central vision in 2 patients following caesarean section under spinal anesthesia.

作者信息

Stilma J S, de Lange J J, Crezee F C

机构信息

Department of Ophthalmology, Free University Hospital, Amsterdam, The Netherlands.

出版信息

Doc Ophthalmol. 1987 Sep-Oct;67(1-2):59-68. doi: 10.1007/BF00142698.

DOI:10.1007/BF00142698
PMID:3428103
Abstract

Two female patients are described with acute bilateral central scotomata with preservation of central vision following spinal anesthesia. Both patients had a temporary drop in systemic blood pressure and underwent caesarean section with moderate blood loss. In order to explain the visual field defects extensive ophthalmological examination and CT-scanning with nuclear magnetic resonance imaging were performed. The hypothetical explanation for the visual field defects is transient macular ischemia.

摘要

描述了两名女性患者,她们在脊髓麻醉后出现双侧急性中心暗点,但中心视力保留。两名患者的全身血压均有短暂下降,并接受了剖宫产手术,术中失血适中。为了解释视野缺损,进行了全面的眼科检查以及CT扫描和核磁共振成像。对视野缺损的假设性解释是短暂性黄斑缺血。

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本文引用的文献

1
Pericentral ring scotoma.中心周围环形暗点
Arch Ophthal. 1950 Jan;43(1):66-91. doi: 10.1001/archopht.1950.00910010071006.
2
Persistent sixth cranial nerve paresis following blood patch for postdural puncture headache.硬膜外穿刺后头痛行血补丁治疗后持续性第六颅神经麻痹
Anesth Analg. 1982 Nov;61(11):948-9.
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Subdural haematoma and spinal anaesthesia. A case report and an incidence study.硬膜下血肿与脊髓麻醉。一例病例报告及发病率研究。
Anaesthesia. 1983 Feb;38(2):144-6. doi: 10.1111/j.1365-2044.1983.tb13934.x.
4
[Transient low frequency hearing loss and facial paralysis following spinal anesthesia. A case report].[脊髓麻醉后短暂性低频听力损失和面神经麻痹。病例报告]
Anaesthesist. 1985 Aug;34(8):402-4.
5
Pneumocephalus with headache during spinal anesthesia.脊髓麻醉期间出现气颅并伴有头痛。
Anesthesiology. 1985 May;62(5):690-2. doi: 10.1097/00000542-198505000-00037.
6
Sudden bilateral hearing loss after spinal anaesthesia. A case report.脊髓麻醉后突发双侧听力丧失。一例病例报告。
Acta Anaesthesiol Scand. 1986 Jul;30(5):412-3. doi: 10.1111/j.1399-6576.1986.tb02441.x.
7
Bilateral homonymous hemianopia.双侧同向性偏盲。
Am J Ophthalmol. 1978 Oct;86(4):536-43. doi: 10.1016/0002-9394(78)90303-3.
8
Paresis of the fifth cranial nerve following spinal anesthesia.脊髓麻醉后第五颅神经麻痹
Anesthesiology. 1978 Sep;49(3):217-8. doi: 10.1097/00000542-197809000-00017.