在高海拔地区的年轻成年人中,视网膜中枢动脉堵塞:稀薄的空气,高风险
Vipin Rana1, Pradeep Kumar2, Sandeepan Bandopadhyay1
1Department of Ophthalmology, Command Hospital Eastern Command, Kolkata, India.
High altitude medicine & biology
|March 4, 2024
概括
在高海拔地区的年轻人患中枢视网膜动脉堵塞 (CRAO) 的风险增加. 这种情况可能与高海拔相关的红细胞瘤和高血糖血症有关.
科学领域:
- 眼科医生 眼科 眼科
- 高度医学 高度医学
- 血管神经学 血管神经学
背景情况:
- 中央视网膜动脉封闭 (CRAO) 是一种罕见但严重的疾病,导致突然视力丧失.
- 与老年人相比,年轻人通常具有较少的CRAO风险因素.
研究的目的:
- 调查在高海拔地区驻扎的年轻成年人中CRAO的潜在风险因素.
- 在这个特定的人群中描述CRAO的临床表现和管理.
主要方法:
- 五名年轻的安全人员与CRAO在高空中的案例系列.
- 诊断评估包括 fundus 光素血管学和光学连贯性断层扫描.
- 计算机断层扫描血管造影用于评估动脉血栓形成.
主要成果:
- 所有患者都是年轻人,没有先前的并发病,并且出现了突然的单边视力下降.
- 在所有病例中都存在红细胞病变;在两个病例中发现过高homocysteinemia.
- 四名患者患有中脑动脉或内动脉 (ICA) 血栓相关性.
结论:
- 高海拔相关的红细胞瘤和高血血是年轻人中CRAO的重要危险因素.
- 涉及眼科,血液学,血管外科和神经学的多学科管理至关重要.
- 根据ICA封闭的程度,管理策略有所不同,从手术干预到保守的抗血小板治疗.
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