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[恶性高血压患者的晚期眼底镜检查变化]

[Late ophthalmoscopic changes in patients after malignant hypertension].

作者信息

Dróbecka-Brydak E, Swituła M, Brydak-Godowska J, Posepna A, Rancewicz Z, Nowacka-Cieciura E

机构信息

Katedry i Kliniki Chorób Oczu AM w Warszawie.

出版信息

Klin Oczna. 1998;100(1):31-3.

PMID:9685796
Abstract

AIM

Comparison of eye fundus changes in patients in whom malignant hypertension was diagnosed.

MATERIAL AND METHODS

14 patients (6 F, 8 M) aged 24-54 years were examined. In all cases kidney disease was the cause of arterial hypertension. 11 patients underwent kidney transplantation (0.5-20 years before the study), 2 patients was hemodialysed, 1 received only pharmacological treatment.

RESULTS

During the first examination in two patients IV grade of hypertensive retinopathy (K-W classification) was found, in the rest of the patients I/II or II grade with typical changes for malignant hypertension in the past (Elschnig's spots) was found. In control examinations (6 months-21 years) the persistence of the previously noticed changes was observed.

摘要

目的

比较已确诊为恶性高血压患者的眼底变化。

材料与方法

对14例年龄在24至54岁之间的患者(6例女性,8例男性)进行了检查。所有病例中,肾脏疾病均为动脉高血压的病因。11例患者接受了肾脏移植(研究前0.5至20年),2例患者接受血液透析,1例仅接受药物治疗。

结果

首次检查时,发现2例患者患有IV级高血压性视网膜病变(K-W分级),其余患者为I/II级或II级,既往有恶性高血压的典型变化(埃尔施尼格斑)。在对照检查(6个月至21年)中,观察到先前发现的变化持续存在。

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