摘要
目的:研究急性闭角型青光眼急性发作期首诊内科误诊的原因及具体表现,结合临床资料,得出有效结论。方法:随机选取收治的32例急性闭角型青光眼急性发作期患者,总结搜集患者们的临床病案资料,采用回顾分析法,研究首诊内科误诊情况的前因后果。结果:32例患者,首诊内科误诊3例、正确诊断29例,椎基底动脉供血不足8例、脑出血5例、高血压11例、偏头疼5例,误诊组的3例患者收缩期血压及眼压较高,患者视力表现差。结论:急性闭角型青光眼急性发作期患者病情特征复杂、疾病变化多元,在内科首诊阶段,要想依靠现代医疗技术和检测技术确诊疾病,较为困难,有时会出现误诊现象。
Objective To study the acute phase of acute angle- closure glaucoma patients medical misdiagnosis reasons and specific performance,in combination with clinical data,draw valid conclusions. Method 32 cases of acute angle- closure glaucoma patients with acute episodes were randomly selected,and summarize the clinical medical record data of the collecting patients,a retrospective analysis,the ins and outs of the first clinical medical misdiagnosis. Results 32 cases of patients,the first clinical medical misdiagnosis in 3 patients,the correct diagnosis,29 cases of vertebral basilar artery insufficiency,8 cases of cerebral hemorrhage in5 cases,5 cases in 11 cases of hypertension,migraine headaches,misdiagnosis group of three patients with systolic blood pressure and high intraocular pressure,vision in patients with poor performance. Conclusion Acute angle- closure glaucoma in patients after acute phase characteristics of the complex changes,disease,patients in internal medicine division stage,want to rely on modern medical disease diagnosis technology and testing technology,more difficult,sometimes appear misdiagnosis phenomenon.
出处
《吉林医学》
CAS
2016年第5期1044-1046,共3页
Jilin Medical Journal
关键词
急性闭角型
青光眼
发作期
内科误诊
Acute angle-closure
Glaucoma
Episodes
Medical misdiagnosis
