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題名:OCULAR MANIFESTATIONS SECONDARY TO STRANGULATION INJURY: A CASE REPORT     (10點)
勒頸窒息後之眼部病變
著者:Ya-Chuan Hsiao(蕭雅娟) ;Chih-Jen Lin(林治仁) ;Tsung-Lin Yang(楊宗霖) ;Ching-Yao Tsai(蔡景耀) ;Lin-Chung Woung(翁林仲)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Strangulation ; Subconjunctival hemorrhage ; Hemorrhagic retinopathy
刊名:中華民國眼科醫學會雜誌
卷期:45卷3期(2006.9)
頁碼:217-221
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一個年輕男性遭受父親扼描頸部,導 致窒息傷害後的眼部臨床表現。 方法:病例報告。 結果:一位年輕男子被扼搞脖子後就醫,主訴視 力模糊、視線變暗。眼科檢查發現嚴重結膜下血腫併 視網膜水腫、臉部及眼皮紅腫合併出血性紅斑。其他 檢查發現眼壓正常,無前房出血。血液生化檢查除了 紅血球數降低,發現輕微血鍋降低,其他結果正常。 兩星期後,其結膜下出血完全吸收,眼皮消腫,紅斑 消失,視力已完全恢復。 結論:扼描頸部造成的眼部表現臨床上極為少 見。因外力造成暫時性缺氧與靜脈回流的阻斷,眼科 醫師應注意可能的併發症包括結膜下出血,瀰漫性視 網膜出血,眼外肌出血,視網膜血管阻塞,眼壓升高 等。此病例表現出窒息、倖存者的眼部傷害。
Purpose: To repo內an unusual case of bilateral subconjunctival hemorrhage with diffuse petechia all over the face in a survivor who suffered from a strangulation attempt. Methods: Case repo凡 Results: A young man came to the emergency room with the complaint of blurred vision after a sudden strangulation attack by his father. The skin of his face showed diffuse petechial hemorrhage, both eyelids were ecchymotic and severely edematous. The slit lamp examination revealed severe bilateral subconjunctival hemorrhage. The anterior segments of both eyes were normal. Indirect ophthalmoscopy revealed retina whitening with poor red reflex otherwise the retinal vessels and optic discs were normal. The visual acuity and intraocular pressure were within normal limits. Laboratory data showed e叩thropenia and decreased hematocrit, and electrol叭e showed mild hyponatremia. The subconjunctival hemorrhage completely resolved and skin petechial patches resolved in two weeks. Conclusion: Ophthalmologists should be aware of potential complications including hemorrhagic retinopathy, extraocular muscle hemorrhage, retinal vessels occlusion and elevated intraocular pressure following strangulation.


    

本卷期目次
中華民國眼科醫學會雜誌 45卷3期 (2006.9)
眼科住院醫師教育之新趨勢/ 李建興侯鈞賀林耕國
隱形眼鏡的光學與臨床應用/ 李建興侯鈞賀林耕國
WARNING ON THE IMPORTANCE OF THE DEAD SPACE IN ERRORS IN INTRAVITREAL DRUG INJECTION/ Shu-I YehHuey-Chuan ChengLee-Jen Chen
光動力療法後之光學共輒掃描儀變化/ 林恒如陳立仁
臺灣視網膜病變盛行率與危險因子研究/ 鄭仁豪邱弘毅羅琇瓊呂大文
使用Silicone Rod矯正眼瞼下垂/ 洪聖德陳喬鴻
BEE STING TO THE CORNEA──A REPORT OF THREE CASES/ Yu-Te ChiuChun-Chi ChiangWen-Lu ChenJane-Ming LinYi-Yu Tsai
PEDIATRIC PHTHIRIASIS PALPEBRARUM: SCABICIDAL AGENTS AS ALTERNATIVE TREATMENT──A REPORT OF TWO CASES/ Ya-Chuan HsiaoNi-Wen KuoJeng-Shyong ShyuShwu-Jiuan SheuLin-Chung Woung
BILATERAL OPTIC NEURITIS FOLLOWING HERPES ZOSTER OPHTHALMICUS/ Yi-Ching ShaoWen-Li HuangMei-Ling Peng
MANAGEMENT OF CORNEAL MELTING ASSOCIATED WITHRHEUMATOID ARTHRITIS──3 CASES REPORTS/ Yu-Tai PengWan-Ying ChenJung-Mu YangDa-Wen LuMing-Cheng Tai
PRIMARY LOCALIZED CONJUNCTIVALAMYLOIDOSIS──A CASE REPORT/ Yu-Yen ChenPei-Yu LinShui-Mei LeeWen-Ming Hsu
OCULAR MANIFESTATIONS SECONDARY TO STRANGULATION INJURY: A CASE REPORT/ Ya-Chuan HsiaoChih-Jen LinTsung-Lin YangChing-Yao TsaiLin-Chung Woung
PRK術中預防性使用Mitomycin-C處理Button-Hole Flap/ 黃志訇鄭惠川劉宗學
交感性眼炎──病例報告/ 周盟超詹維鈞陳立仁吳愛卿
 
   
 
   

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