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儿童急性瞳孔障碍:对101名患者进行了为期10年的追溯研究

Giacomo Garone^1,2, Marco Roversi³, Mara Pisani⁴

¹Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Children (Basel, Switzerland)

|November 25, 2023

概括

儿童的急性瞳孔运动障碍 (APMD) 可能表明紧急情况,特别是双边或外眼症状. 孤立的病例需要观察并排除有毒暴露.

科学领域:

儿科急救医学儿科急救医学
眼科医生眼科眼科
神经学神经学

背景情况:

儿童急性瞳孔运动障碍 (APMD) 尚未得到充分研究.
在急诊室 (ED) 中,区分良性和紧急情况 (UCs) 是至关重要的.
这项研究旨在描述儿科APMD,并确定UCs的风险因素.

研究的目的:

描述儿科APMD的临床特征.
确定APMD呈现和紧急情况的风险之间的关联.
为ED的诊断和管理策略提供信息.

主要方法:

10年来对APMD病例进行了回顾性儿科研究.
根据条件的紧迫性,分析总样本和子组的临床特征.
后勤回归用于识别紧急情况的预测因素.

主要成果:

分析了101名儿科患者,59.4%的患者分离了APMD.
眼外参与包括意识改变,头痛和吐.
在患有双边APMD和/或其他表现的老年儿童中,紧急情况更为频繁.
在48.5%的病例中报告了暴露于有毒剂的情况.

结论:

双边APMD和相关症状增加了紧急情况的可能性.
单边或孤立的APMD可以通过眼科检查,毒理学排除和观察来管理.
早期识别风险因素对于及时干预至关重要.

关键词:

孩子们的孩子们的孩子们的孩子们肌肉分裂 (miosis) 是一种疾病.这种疾病是mydriasis.儿科儿科儿科儿科瞳孔的运动性.

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