Young T A, Levin A V
Faculty of Medicine, University of Toronto, Ontario, Canada.
Pediatr Emerg Care. 1997 Feb;13(1):61-5. doi: 10.1097/00006565-199702000-00018.
Examination of the pupils is an essential component of both the neurologic and ocular evaluation of a child in the acute care setting. The manifestation of an afferent pupillary defect has significant clinical implications for diagnosis and management. Correctly assessing the pupils for an afferent defect is an important clinical skill for the pediatric emergency physician. An appreciation of the anatomy and understanding of the mechanisms involved in abnormal pupil responses, knowledge of the proper technique of the swinging flashlight test, and an awareness of potential pitfalls in performing this test will aid the physician in the detection of an afferent pupillary defect.
在急症护理环境中，检查瞳孔是对儿童进行神经学和眼科评估的重要组成部分。传入性瞳孔缺陷的表现对诊断和治疗具有重要的临床意义。正确评估瞳孔是否存在传入性缺陷是儿科急诊医生的一项重要临床技能。了解瞳孔异常反应所涉及的解剖结构和机制、掌握摆动手电筒试验的正确技术以及意识到进行该试验时可能存在的陷阱，将有助于医生检测出传入性瞳孔缺陷。
