摘要
目的探讨脑血管造影术后皮质盲的诊断、可能的病因、治疗和预防措施。方法回顾性分析2002年1月—2017年12月我院收治的2 467例脑血管介入诊疗中出现的3例皮质盲患者临床资料,结合文献分析讨论皮质盲的发生机制及治疗方法。结果皮质盲的发生率为0.12%(3/2 467),3例患者经补液扩容、舒张脑血管、抗脑水肿、皮质激素、改善脑代谢及高压氧等综合治疗,症状均在5 d内缓解。随访2周未见相关并发症。结论皮质盲是脑血管造影术后罕见并发症,但通过对症处理,一般预后良好。
Objective To discuss the diagnosis,the pathogeny and the corresponding prevention measures of the cortical blindness caused by cerebral angiography.Methods A retrospective analysis was made for the clinical data of the3cases of postoperative cortical blindness from2467cases of cerebral angiography in our hospital during January2002to December2017.The pathogenesis and treatment of cortical blindness were discussed in combination with literature analysis.Results The incidence of cortical blindness was0.12%(3/2467)in cerebral angiography.The symptoms of3patients were alleviated within5days after comprehensive treatment including fluid replacement,alleviation of vasospasm,anti-brain edema,corticosteroids,neural nutrition and hyperbaric oxygen.There were no related complications in the2follow-up weeks.Conclusion Cortical blindness is a rare complication of cerebral angiography.But most patients can be cured through symptomatic treatment.
作者
梁超
杨群福
王风聚
刘振波
LIANG Chao;YANG Qun-fu;WANG Feng-ju;LIU Zhen-bo(Department of Neurosurgery,Xingtai People's Hospital,Hebei Medical University Affiliated Hospital,Hebei 054031,China)
出处
《天津医药》
CAS
北大核心
2018年第12期1327-1329,共3页
Tianjin Medical Journal
关键词
脑血管造影术
手术后并发症
皮质盲
cerebral angiography
postoperative complications
cortical blindness
