Jang Min Uk, Jung Ho Gil, Kim Youngwoong
Department of Surgery, National Trauma Center, National Medical Center, Seoul, Korea.
Cheorwon Public Health Center, Cheorwon County Office, Cheorwon, Korea.
J Trauma Inj. 2024 Dec;37(4):291-294. doi: 10.20408/jti.2024.0032. Epub 2024 Oct 21.
This case report describes the case of a 56-year-old man who developed Purtscher retinopathy following compressive chest trauma. During the tertiary survey, the patient was found to have a unilateral partial vision decline despite sustaining only mild rib fractures. The patient was diagnosed with a rare complication of Purtscher retinopathy. At a 2-week follow-up outpatient examination, improved visual acuity was observed. This case highlights the importance of conducting a tertiary survey not only on the directly impacted site, but also comprehensively across all sites, while attentively listening to and addressing the patient's complaints.
本病例报告描述了一名56岁男性在胸部受到挤压伤后发生普尔夏视网膜病变的病例。在三级检查中,尽管患者仅遭受轻度肋骨骨折,但发现其出现单侧部分视力下降。该患者被诊断为普尔夏视网膜病变这一罕见并发症。在为期2周的门诊随访检查中,观察到视力有所改善。本病例强调了不仅要对直接受影响部位进行三级检查,还要全面检查所有部位,同时认真倾听并处理患者主诉的重要性。