Department of Neurology, University of Texas Southwestern Medical Center, Dallas; Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas; Peter O'Donnell Jr. Brain Institute, University of Texas Southwestern Medical Center, Dallas.
Department of Neurology, University of Texas Southwestern Medical Center, Dallas; Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas; Peter O'Donnell Jr. Brain Institute, University of Texas Southwestern Medical Center, Dallas.
Am J Med. 2024 Sep;137(9):825-831. doi: 10.1016/j.amjmed.2024.04.043. Epub 2024 May 9.
From the time of Galen, examination of the pupillary light reflex has been a standard of care across the continuum of health care. The growing body of evidence overwhelmingly supports the use of quantitative pupillometry over subjective examination with flashlight or penlight. At current time, pupillometers have become standard of care in many hospitals across 6 continents. This review paper provides an overview and rationale for pupillometer use and highlights literature supporting pupillometer-derived measures of the pupillary light reflex in both neurological and non-neurological patients across the health care continuum.
从古罗马医生盖仑(Galen)时代起,瞳孔对光反射检查就一直是整个医疗保健过程中的一项标准护理措施。越来越多的证据压倒性地支持使用定量瞳孔计进行检查,而不是使用手电筒或笔形电筒进行主观检查。目前,瞳孔计已在六大洲的许多医院成为标准护理手段。本文综述了瞳孔计的使用,并概述了支持在整个医疗保健连续体中对神经和非神经患者的瞳孔光反射进行瞳孔计衍生测量的文献,为其使用提供了依据。