| 慢性高原病与视网膜改变 |
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| 引用本文： | 马勇,李彬,王引虎,张西洲,崔建华,哈振德,王宏运,马广全,高亮.慢性高原病与视网膜改变[J].高原医学杂志,2006,16(1):29-30. |
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| 作者姓名： | 马勇 李彬 王引虎 张西洲 崔建华 哈振德 王宏运 马广全 高亮 |
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| 作者单位： | 新疆叶城解放军第18医院,844900 |
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| 摘 要： | 目的探讨慢性高原病(CMS)患者视网膜改变的特征,为高原眼病临床诊断提供参考依据。方法对移居海拔4300m、5100m、5380m10个月以上的407名男性青年采用CMS国际诊断标准1]进行流行病学调查,将确诊为CMS的179人采用YZ-6B型强光源检眼镜分别进行视网膜检测,并行图表式记录。结果CMS患者眼底视网膜乳头充血、动脉痉挛、静脉怒张、视网膜渗出程度均为,发生率100%。结论CMS患者眼底呈暗红色,主要以动静脉比例增大为主,血管柱紫青或紫黑色,尤其是静脉增宽,似腊肠状,出现血管增多,并见乳头显著充血,网膜渗出。与急性缺氧期视网膜改变极其相似。
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| 关 键 词： | 高原 低氧 慢性高原病 视网膜 |
Chronic Mountain Sickness and Changes of Retina |
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| Ma Yong,Li Bin,Wang Yinhu,Zhang Xizhou,Cui Jianhua,Ha Zhende,Wang Hongyun,Ma Guangquan,Gao Liang.Chronic Mountain Sickness and Changes of Retina[J].Journal of High Altitude Medicine,2006,16(1):29-30. |
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| Authors: | Ma Yong Li Bin Wang Yinhu Zhang Xizhou Cui Jianhua Ha Zhende Wang Hongyun Ma Guangquan Gao Liang |
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| Affiliation: | The 18th Hospital of PLA, Xinjiang |
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| Abstract: | Objective: To discuss Chronic Mountain Sickness (CMS) sufferers' retina changes to provide gist for eye diseases diagnosis at high altitude. Methods: a total of 407 migrates from 4 300m, 5 100m and 5380m altitudes were identified using international chronic mountain sickness (CMS) diagnostic standard, of them 179 cases had the CMS and were performed the examination of eye ground by tape YZ-6B retinoscope, Results: All 179 patients with CMS had the optic papolla hyperemia, retinal artery spasm and vena engorgement, 100% retinal bleeding. Conclusions: The eye grounds of patients with CMS have great artery/venous proportion. Vas mast is hyacinthine or indigo, especially broaden vein liking sausage. Our results suggest that the eye retina would change under mountain hypoxic condition. |
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| Keywords: | High altitude Hypoxia Chronic mountain sickness Retina |
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