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心脏导管插入术及血管造影期间的短暂视觉障碍。

Transient visual disturbance during cardiac catheterization with angiography.

作者信息

Vik-Mo H, Todnem K, Følling M, Rosland G A

出版信息

Cathet Cardiovasc Diagn. 1986;12(1):1-4. doi: 10.1002/ccd.1810120102.

DOI:10.1002/ccd.1810120102
PMID:3955640
Abstract

The occurrence of visual disturbances following cardiac catheterization with angiographies was studied in a prospective study of 2,006 consecutive adult patients. The overall incidence of visual disturbances was 1.0% and of complete blindness 0.2%. Women had higher incidence than men (2.0 versus 0.6%, p less than 0.01) and patients with a history of angina pectoris with normal coronary arteries had higher incidence than those with coronary artery stenosis (3.7 versus 0.8%, p less than 0.02). Thirteen of twenty patients also had signs of mental confusion. An abnormal electroencephalogram was found in 8 of 13 patients studied. Other neurological findings were observed in one patient only. All patients had complete recovery within 24 hours. Thus, the incidence of visual disturbances is found to be higher than earlier reported, but the visual loss is transient with a benign course.

摘要

在一项对2006例连续成年患者进行的前瞻性研究中,对心脏导管插入术及血管造影术后视觉障碍的发生情况进行了研究。视觉障碍的总体发生率为1.0%,完全失明的发生率为0.2%。女性的发生率高于男性(2.0%对0.6%,p<0.01),冠状动脉正常的心绞痛病史患者的发生率高于冠状动脉狭窄患者(3.7%对0.8%,p<0.02)。20例患者中有13例还伴有精神错乱的体征。在接受研究的13例患者中,8例脑电图异常。仅1例患者观察到其他神经学表现。所有患者均在24小时内完全康复。因此,发现视觉障碍的发生率高于早期报道,但视力丧失是短暂的,病程良性。

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1
Transient visual disturbance during cardiac catheterization with angiography.心脏导管插入术及血管造影期间的短暂视觉障碍。
Cathet Cardiovasc Diagn. 1986;12(1):1-4. doi: 10.1002/ccd.1810120102.
2
Transient cortical blindness. An unusual complication of coronary angiography.短暂性皮质盲。冠状动脉造影的一种罕见并发症。
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引用本文的文献

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Transient Cortical Blindness After Cardiac Catheterization: A Case Report and Review of Possible Neurological Etiologies.心脏导管插入术后短暂性皮质盲:一例报告及可能的神经病因学综述。
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