血管神经眼科急症的研究进展

doi:10.3969/j.issn.1673-5765.2024.03.002

摘要/Abstract

摘要： 神经眼科急症是指如果不能及时诊断和治疗，就会严重威胁患者视力甚至危及生命的神经眼科临床疾病谱，其中血管性原因所致的神经眼科急症（血管神经眼科急症）占绝大部分。由于交叉学科的特点，血管神经眼科急症患者多首诊于眼科或急诊，首诊医师往往对疾病认识不全面，易导致该类患者诊断滞后、误诊或漏诊；当患者转诊于神经科时，神经科医师如果对疾病的诊断不能及时确定，易导致治疗延迟。本文对血管神经眼科急症疾病谱主要疾病的临床表现、检查方法和治疗方法等方面进行综述，以期为该类疾病的快速诊断和精准治疗提供依据。

文章导读： 神经眼科急症中血管性原因（血管神经眼科急症）占绝大多数，但因交叉学科的特点，导致该类患者诊断滞后、误诊或漏诊和治疗延迟。本文对血管神经眼科急症疾病谱主要疾病的临床表现、检查方法和治疗方法等进行综述，以期为该类疾病的快速诊断和精准治疗提供依据。

关键词: 神经眼科; 血管神经眼科; 急症

Abstract: Neuro-ophthalmic emergency refers to the spectrum of neuro-ophthalmic clinical diseases that can seriously threaten patients’ vision or even endanger their lives if they are not diagnosed and treated in time, among which the neuro-ophthalmic emergency caused by vascular causes (vascular neuro-ophthalmic emergency) accounts for the vast majority. Due to the characteristics of interdisciplinary, patients with vascular neuro-ophthalmic emergency are often first referred to the department of ophthalmology or emergency, and the first doctors often have incomplete understanding of the disease, which is easy to lead to delayed diagnosis, misdiagnosis or missed diagnosis of such patients. When patients are referred to the department of neurology, if the neurologist’s diagnosis of the disease cannot be determined in time, it is easy to delay treatment. In this paper, the clinical manifestations, the examination methods and the treatment methods of the major diseases in the spectrum of vascular neuro-ophthalmic emergency were reviewed in order to provide the basis for the rapid diagnosis and accurate treatment of these diseases.

Key words: Neuro-ophthalmology; Vascular neuro-ophthalmology; Emergency

中图分类号:

逯青丽, 吴松笛. 血管神经眼科急症的研究进展[J]. 中国卒中杂志, 2024, 19(3): 256-265.

LU Qingli, WU Songdi. Research Progress of Vascular Neuro-Ophthalmic Emergencies[J]. Chinese Journal of Stroke, 2024, 19(3): 256-265.

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