摘要
目的分析心、脑血管造影术后视力模糊或双目失明的病因。方法6例患者,4例曾行脑血管造影,2例行心血管造影。结果4例出现不同程度的双眼视力模糊,2例双目失明。症状出现后眼科检查:双侧瞳孔等大,对光反应正常,眼动脉较细小。彩色多普勒血流显像检查:双眼视网膜中央动脉显示清晰。当天头颅CT检查:除原发病变外,未见脑梗死及出血改变。结论视力模糊、双目失明是心、脑血管造影中非常少见的并发症,与对比剂的浓度、用量及患者本身的疾病有直接关系。
Objective To study the cause of blurred vision or cecitas after cardiac or cerebral angiography.Methods Six patients including 4 performed with cerebral angiography and 2 with cardiac angiography were analyzed.Results In those 6 patients,blurred vision happened in 4 cases,and cecitas appeared in 2 cases.Ophthalmologic examination revealed bilateral isocoria,thinning ophthalmic arteries and normal light reflex.Color Dopler flow imaging showed clearly the central retinal arteries.No cerebral infarction and brain hemorrhage were detected under CT.Conclusions Blurred vision and cecitas are the rare complications occurred with cardiac or cerebral angiography,probably with direct relationship to the concentration or dosage of the contrast media used,and the primary diseases of the patients.
出处
《介入放射学杂志》
CSCD
2008年第1期64-65,共2页
Journal of Interventional Radiology
关键词
视力模糊
双目失明
心、脑血管造影
Blurred vision
Cecitas
Aardiac or cerebral angiography
